Organization · Type 2 NPI
Cerulean Willow Mental Health Counseling PLLC
Mental Health Counselor · Port Jefferson, NY
NPI number
1427749688
Active
Practice location
1227 Main St Ste 302
Port Jefferson, NY 11777-2227
Mailing address
PO Box 685
Oyster Bay, NY 11771-0685
Other practice locations
- 153 Main St, Cold Spring Harbor, NY 11724-1437 · (631) 512-3079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
2 other providers at this address
Other mental health counselor providers in Port Jefferson
About NPI 1427749688
Cerulean Willow Mental Health Counseling PLLC's National Provider Identifier is 1427749688, issued on May 18, 2023. 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 Oct 24, 2023.