Individual provider · Type 1 NPI

Maryellen Adams

Mental Health Counselor · East Islip, NY

NPI number 1487237301 Active

Practice location

107 W Main St
East Islip, NY 11730-2337

Call (631) 666-1615 Map

Fax (631) 666-1709

Mailing address

211 Academy St
Bayport, NY 11705-1827

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X011181-01 (NY)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1487237301

Maryellen Adams's National Provider Identifier is 1487237301, issued on Apr 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Islip, NY. The record was last updated on Apr 29, 2021.