Organization · Type 2 NPI

Club Mental Health Counseling Services, P.c.

Mental Health Counselor · Staten Island, NY

NPI number 1982912929 Active

Practice location

272 Ada Dr
Staten Island, NY 10314-1434

Call (718) 873-3189 Map

Fax (718) 982-8508

Mailing address

PO Box 140695
Staten Island, NY 10314-0695

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001024-1 (NY)

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About NPI 1982912929

Club Mental Health Counseling Services, P.c.'s National Provider Identifier is 1982912929, issued on Sep 23, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Sep 23, 2010.