Individual provider · Type 1 NPI

Dominick Lociero, LMHC (LICENSE MENTAL

Mental Health Counselor · Port Jefferson, NY

NPI number 1215358684 Active

Practice location

646 Main Street
Port Jefferson, NY 11777

Call (631) 880-1370 Map

Mailing address

192 Clubhouse Drive
Patchogue, NY 11772

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X002200-1 (NY)
Marriage & Family Therapist 106H00000XNone listed

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1215358684

Dominick Lociero, LMHC (LICENSE MENTAL's National Provider Identifier is 1215358684, issued on Jan 2, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson, NY. The record was last updated on Jan 2, 2014.