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Athena Amelia Innes
Mental Health Counselor in Huntington, New York
NPI 1598377061

Athena Amelia Innes is a Mental Health Counselor based in Selden, NY and is specialized in Mental Health. Athena Amelia Innes practices in Huntington, NY. The NPI Number for Athena Amelia Innes is 1598377061 and holds a License No. P105689 (New York).

The current practice location address for Athena Amelia Innes is 55 Horizon Dr, Huntington, NY and can be reached out via phone at 631-396-2300.

Location: 55 Horizon Dr, Huntington, NY, 11784-1840
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598377061
Provider Name
Athena Amelia Innes
Credential
Provider Entity Type
Individual
Gender
Female
Address
55 Horizon Dr, Huntington, NY, 11784-1840
Phone Number
631-396-2300
Fax Number
Provider Enumeration Date
08/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55 Horizon Dr
City
Huntington
State
New York
Zip
11743-4436
Phone Number
631-396-2300
Fax Number
person
Provider Business Mailing Address Details
Address
55 Horizon Dr
City
Huntington
State
New York
Zip
11743-4436
Phone Number
631-396-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P105689 (New York)
Definition
Definition to come...
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