Individual
HAROLD SEQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-R
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8310
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R051591-1
NY
Other
Enumeration date
12/12/2006
Last updated
03/12/2025
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