| Integrated Counseling, Pllc | |
|
1739 N Ocean Ave Ste A Medford NY 11763-2683 | |
| (631) 747-2106 | |
| Not Available |
| Full Name | Integrated Counseling, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1739 N Ocean Ave Ste A, Medford, New York |
| Authorized Official Name and Position | Sean Woll (OWNER) |
| Authorized Official Contact | 6317472106 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling, Pllc 31 Nantucket Dr Medford NY 11763-4346 Ph: (631) 747-2106 | Integrated Counseling, Pllc 1739 N Ocean Ave Ste A Medford NY 11763-2683 Ph: (631) 747-2106 |
| NPI Number | 1417594235 |
|---|---|
| Provider Enumeration Date | 12/01/2019 |
| Last Update Date | 07/20/2023 |
| Certification Date | 07/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417594235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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