| Janine Colasuonno, Licensed Mental Health Counselor, Pllc | |
|
3 Chestnut St Coram NY 11727-1404 | |
| (631) 379-2456 | |
| Not Available |
| Full Name | Janine Colasuonno, Licensed Mental Health Counselor, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3 Chestnut St, Coram, New York |
| Authorized Official Name and Position | Janine Colasuonno (OWNER) |
| Authorized Official Contact | 6313792456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janine Colasuonno, Licensed Mental Health Counselor, Pllc 3 Chestnut St Coram NY 11727-1404 Ph: () - | Janine Colasuonno, Licensed Mental Health Counselor, Pllc 3 Chestnut St Coram NY 11727-1404 Ph: (631) 379-2456 |
| NPI Number | 1679086920 |
|---|---|
| Provider Enumeration Date | 11/08/2017 |
| Last Update Date | 05/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679086920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 000585-1 (New York) | Primary |
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