Organization · Type 2 NPI

Supportive Space Mental Health Counseling PLLC

Mental Health Counselor · Monroe, NY

NPI number 1184450397 Active

Practice location

76 Pinehurst Cir
Monroe, NY 10950-5567

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1184450397

Supportive Space Mental Health Counseling PLLC's National Provider Identifier is 1184450397, issued on Sep 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Monroe, NY. The record was last updated on Sep 12, 2024.