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Eliza M Marcus, MED,LMHC
Mental Health Counselor in Lake Grove, New York
NPI 1396882478

Eliza M Marcus is a Mental Health Counselor based in Lake Grove, NY and is specialized in Mental Health. Eliza M Marcus practices in Lake Grove, NY and has the professional credentials of MED,LMHC. The NPI Number for Eliza M Marcus is 1396882478 and holds a License No. 002868 (New York).

The current practice location address for Eliza M Marcus is 2 Durham Pl, Lake Grove, NY and can be reached out via phone at 631-585-7131.

Location: 2 Durham Pl, Lake Grove, NY, 11755-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396882478
Provider Name
Eliza M Marcus
Credential
MED,LMHC
Provider Entity Type
Individual
Gender
Female
Address
2 Durham Pl, Lake Grove, NY, 11755-2814
Phone Number
631-585-7131
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002868 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
2 Durham Pl
City
Lake Grove
State
New York
Zip
11755-2814
Phone Number
631-585-7131
Fax Number
person
Provider Business Mailing Address Details
Address
2 Durham Pl
City
Lake Grove
State
New York
Zip
11755-2814
Phone Number
631-585-7131
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
002868 (New York)
Definition
Definition to come...
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