Individual provider · Type 1 NPI

Justine Donodeo

Mental Health Counselor · Coram, NY

NPI number 1356799084 Active

Practice location

3600 New York 112
Coram, NY 11727-3438

Call (631) 920-8500 Map

Mailing address

3600 NY-112
Coram, NY 11727-3438

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356799084

Justine Donodeo's National Provider Identifier is 1356799084, issued on Jun 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coram, NY. The record was last updated on Jun 3, 2016.