| Changing Seasons Counseling Lcsw Pllc | |
|
425 Old Town Rd Port Jefferson Station NY 11776-3627 | |
| (631) 209-7042 | |
| Not Available |
| Full Name | Changing Seasons Counseling Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 425 Old Town Rd, Port Jefferson Station, New York |
| Authorized Official Name and Position | Fernando Edgardo Beltran (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6315753435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Seasons Counseling Lcsw Pllc 425 Old Town Rd Port Jefferson Station NY 11776-3627 Ph: (631) 209-7042 | Changing Seasons Counseling Lcsw Pllc 425 Old Town Rd Port Jefferson Station NY 11776-3627 Ph: (631) 209-7042 |
| NPI Number | 1316646607 |
|---|---|
| Provider Enumeration Date | 02/27/2023 |
| Last Update Date | 10/01/2023 |
| Certification Date | 10/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316646607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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