Individual
MR. JOSEPH MATTHEW DILAURENZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC,LPC, NCC,CASAC
Contact information
Practice address
426 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1431
(516) 341-6215
Mailing address
40 CROSS RD APT 99, MATAWAN, NJ 07747-1109
(631) 882-4298
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1095059
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
35491
NY
101YM0800X
Mental Health Counselor
011922
NY
101YP2500X
Professional Counselor
37PC00819300
NJ
Other
Enumeration date
11/13/2019
Last updated
02/03/2022
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