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Connie Douglas Lcsw
Mental Health Counselor in Irvington, New York
NPI 1407242753

Connie Douglas Lcsw is a Mental Health Counselor based in Tarrytown, NY and is specialized in Mental Health. Connie Douglas Lcsw practices in Irvington, NY. The NPI Number for Connie Douglas Lcsw is 1407242753 and holds a License No. 071290 (New York).

The current practice location address for Connie Douglas Lcsw is 49 Main St Apt 1, Irvington, NY and can be reached out via phone at 914-406-9647.

Location: 49 Main St Apt 1, Irvington, NY, 10591-4327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407242753
Provider Name
Connie Douglas Lcsw
Credential
Provider Entity Type
Organization
Address
49 Main St Apt 1, Irvington, NY, 10591-4327
Phone Number
914-406-9647
Fax Number
Provider Enumeration Date
04/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
49 Main St Apt 1
City
Irvington
State
New York
Zip
10533-1537
Phone Number
914-406-9647
Fax Number
person
Provider Business Mailing Address Details
Address
49 Main St Apt 1
City
Irvington
State
New York
Zip
10533-1537
Phone Number
914-406-9647
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
071290 (New York)
Definition
Definition to come...
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