Individual provider · Type 1 NPI

Benita S. Park

Mental Health Counselor · Jericho, NY

NPI number 1578419073 Active

Practice location

282 Birchwood Park Dr
Jericho, NY 11753-2307

Call (631) 392-8384 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X129830 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1578419073

Benita S. Park's National Provider Identifier is 1578419073, issued on Mar 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jericho, NY. The record was last updated on Mar 6, 2026.