| St. Raphael Mental Health Counseling, Pc | |
|
10 E 16th St Huntington Station NY 11746-2911 | |
| (631) 923-2777 | |
| (631) 923-2777 |
| Full Name | St. Raphael Mental Health Counseling, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10 E 16th St, Huntington Station, New York |
| Authorized Official Name and Position | Allison Ricciardi (PRESIDENT) |
| Authorized Official Contact | 6319232777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Raphael Mental Health Counseling, Pc Po Box 1276 Huntington NY 11743-0657 Ph: (631) 923-2777 | St. Raphael Mental Health Counseling, Pc 10 E 16th St Huntington Station NY 11746-2911 Ph: (631) 923-2777 |
| NPI Number | 1194061325 |
|---|---|
| Provider Enumeration Date | 12/16/2012 |
| Last Update Date | 03/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194061325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002607-1 (New York) | Primary |
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