Individual provider · Type 1 NPI
Stephanie Thode
Mental Health Counselor · Mattituck, NY
NPI number
1396259594
Active
Practice location
7555 Main Rd
Mattituck, NY 11952-1516
Mailing address
790 Park Ave
Huntington, NY 11743-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1396259594
Stephanie Thode's National Provider Identifier is 1396259594, issued on Nov 27, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mattituck, NY. The record was last updated on Nov 27, 2017.