Individual provider · Type 1 NPI

Colleen Grace Gilligan

Professional Counselor · Commack, NY

NPI number 1821370800 Active

Practice location

2171 Jericho Tpke Ste LL3
Commack, NY 11725-2900

Call (631) 603-5002 Map

Mailing address

1841 Brentwood Rd
Brentwood, NY 11717-4625

Other practice locations

  • 1841 Brentwood Rd, Brentwood, NY 11717-4625 · (631) 853-7300

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1821370800

Colleen Grace Gilligan's National Provider Identifier is 1821370800, issued on Sep 15, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Commack, NY. The record was last updated on Mar 2, 2020.