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Nina Penza, CMHC
Mental Health Counselor in Port Jefferson Station, New York
NPI 1538704937

Nina Penza is a Mental Health Counselor based in Port Jefferson Station, NY and is specialized in Mental Health. Nina Penza practices in Port Jefferson Station, NY and has the professional credentials of CMHC. The NPI Number for Nina Penza is 1538704937 and holds a License No. 100405-01 (New York).

The current practice location address for Nina Penza is 1050 Hallock Ave Ste 4, Port Jefferson Station, NY and can be reached out via phone at 516-219-9608.

Location: 1050 Hallock Ave Ste 4, Port Jefferson Station, NY, 11776-1214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538704937
Provider Name
Nina Penza
Credential
CMHC
Provider Entity Type
Individual
Gender
Female
Address
1050 Hallock Ave Ste 4, Port Jefferson Station, NY, 11776-1214
Phone Number
516-219-9608
Fax Number
Provider Enumeration Date
11/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 Hallock Ave Ste 4
City
Port Jefferson Station
State
New York
Zip
11776-1214
Phone Number
516-219-9608
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Hallock Ave Ste 4
City
Port Jefferson Station
State
New York
Zip
11776-1214
Phone Number
516-219-9608
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
100405-01 (New York)
Definition
Definition to come...
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