| Fresh Start Counseling | |
|
444 W. Main St Patchogue NY 11772-3012 | |
| (631) 307-9797 | |
| (631) 307-9797 |
| Full Name | Fresh Start Counseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 444 W. Main St, Patchogue, New York |
| Authorized Official Name and Position | Julianne Doughty (CLINICAL DIRECTOR/CEO) |
| Authorized Official Contact | 6313079797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling 444 W. Main St Patchogue NY 11772-3012 Ph: (631) 307-9797 | Fresh Start Counseling 444 W. Main St Patchogue NY 11772-3012 Ph: (631) 307-9797 |
| NPI Number | 1437525946 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437525946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 082316 (New York) | Primary |
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