person
Bonnie Neidecker Soukup, LMHC,NCC
Mental Health Counselor in Islip, New York
NPI 1558837880

Bonnie Neidecker Soukup is a Mental Health Counselor based in Bohemia, NY and is specialized in Mental Health. Bonnie Neidecker Soukup practices in Islip, NY and has the professional credentials of LMHC,NCC. The NPI Number for Bonnie Neidecker Soukup is 1558837880 and holds a License No. 004684 (New York).

The current practice location address for Bonnie Neidecker Soukup is 435 Main St Ste 5, Islip, NY and can be reached out via phone at 631-664-1582.

Location: 435 Main St Ste 5, Islip, NY, 11716-4420
person
Provider Profile Details
NPI Number
1558837880
Provider Name
Bonnie Neidecker Soukup
Credential
LMHC,NCC
Provider Entity Type
Individual
Gender
Female
Address
435 Main St Ste 5, Islip, NY, 11716-4420
Phone Number
631-664-1582
Fax Number
Provider Enumeration Date
10/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
435 Main St Ste 5
City
State
Zip
11751-3536
Phone Number
631-664-1582
Fax Number
person
Provider Business Mailing Address Details
Address
435 Main St Ste 5
City
State
Zip
11751-3536
Phone Number
631-664-1582
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
004684 (New York)
Definition
Definition to come...
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