Organization · Type 2 NPI
Social Work for Counseling for Inspirational Living LCSW PC
Marriage & Family Therapist · Port Jefferson Station, NY
Practice location
6 Roosevelt Ave Ste 2
Port Jefferson Station, NY 11776-3364
Fax (631) 474-1533
Other practice locations
- 310 Hallock Ave, Port Jefferson Station, NY 11776-1298 · (631) 474-1533
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | R048202-1 (NY) |
Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…
Another provider at this address
About NPI 1164757787
Social Work for Counseling for Inspirational Living LCSW PC's National Provider Identifier is 1164757787, issued on Oct 15, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Port Jefferson Station, NY. The record was last updated on May 16, 2019.