| Jodianne Fitzgerald Licensed Mental Health Counselor Pc | |
|
200 Carleton Ave Ste D East Islip NY 11730-1222 | |
| (631) 621-8152 | |
| Not Available |
| Full Name | Jodianne Fitzgerald Licensed Mental Health Counselor Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Carleton Ave Ste D, East Islip, New York |
| Authorized Official Name and Position | Jodianne Fitzgerald (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 6316218152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodianne Fitzgerald Licensed Mental Health Counselor Pc 200 Carleton Ave Ste D East Islip NY 11730-1222 Ph: (631) 621-8152 | Jodianne Fitzgerald Licensed Mental Health Counselor Pc 200 Carleton Ave Ste D East Islip NY 11730-1222 Ph: (631) 621-8152 |
| NPI Number | 1184480543 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Certification Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184480543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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