Organization · Type 2 NPI

Grace Colasacco, Licensed Mental Health Counselor, PLLC

Mental Health Counselor · Lindenhurst, NY

NPI number 1356720627 Active

Practice location

138 S 1st St, Suite 115
Lindenhurst, NY 11757-4930

Mailing address

310 Granada Pkwy
Lindenhurst, NY 11757-6303

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X006191 (NY)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1356720627

Grace Colasacco, Licensed Mental Health Counselor, PLLC's National Provider Identifier is 1356720627, issued on May 20, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lindenhurst, NY. The record was last updated on Jul 1, 2015.