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Jodianne Fitzgerald
Mental Health Counselor in East Islip, New York
NPI 1619433455

Jodianne Fitzgerald is a Mental Health Counselor based in East Islip, NY and is specialized in Mental Health. Jodianne Fitzgerald practices in East Islip, NY. The NPI Number for Jodianne Fitzgerald is 1619433455 and holds a License No. 013915 (New York).

The current practice location address for Jodianne Fitzgerald is 200 Carleton Ave Ste D, East Islip, NY and can be reached out via phone at 631-621-8152.

Location: 200 Carleton Ave Ste D, East Islip, NY, 11730-1222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619433455
Provider Name
Jodianne Fitzgerald
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Carleton Ave Ste D, East Islip, NY, 11730-1222
Phone Number
631-621-8152
Fax Number
Provider Enumeration Date
02/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Carleton Ave Ste D
City
East Islip
State
New York
Zip
11730-1222
Phone Number
631-621-8152
Fax Number
person
Provider Business Mailing Address Details
Address
200 Carleton Ave Ste D
City
East Islip
State
New York
Zip
11730-1222
Phone Number
631-621-8152
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
013915 (New York)
Definition
Definition to come...
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