Individual provider · Type 1 NPI

Diana Clendaniel

Mental Health Counselor · Commack, NY

NPI number 1639015274 Active

Practice location

340 Veterans Memorial Hwy Ste 12
Commack, NY 11725-4300

Call (631) 319-7678 Map

Mailing address

93 Herbert St
Islip, NY 11751-2018

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP139641 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1639015274

Diana Clendaniel's National Provider Identifier is 1639015274, issued on Apr 27, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Commack, NY. The record was last updated on Apr 27, 2026.