| Advanced Counseling Resources Lcsw Pllc | |
|
10 Friendly Ln Jericho NY 11753-2331 | |
| (516) 931-7367 | |
| (516) 938-5400 |
| Full Name | Advanced Counseling Resources Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10 Friendly Ln, Jericho, New York |
| Authorized Official Name and Position | Ellen Siber (SOLE MEMBER) |
| Authorized Official Contact | 5169317367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Counseling Resources Lcsw Pllc 10 Friendly Ln Jericho NY 11753-2331 Ph: (516) 931-7367 | Advanced Counseling Resources Lcsw Pllc 10 Friendly Ln Jericho NY 11753-2331 Ph: (516) 931-7367 |
| NPI Number | 1407029549 |
|---|---|
| Provider Enumeration Date | 04/09/2008 |
| Last Update Date | 04/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407029549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | R029067-1 (New York) | Primary |
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