person
Stephanie Doughty Kilgannon
Mental Health Counselor in Massapequa, New York
NPI 1669139085

Stephanie Doughty Kilgannon is a Mental Health Counselor based in Massapequa, NY and is specialized in Mental Health. Stephanie Doughty Kilgannon practices in Massapequa, NY. The NPI Number for Stephanie Doughty Kilgannon is 1669139085 and holds a License No. (New York).

The current practice location address for Stephanie Doughty Kilgannon is 54 Cherry St, Massapequa, NY and can be reached out via phone at 718-791-7487.

Location: 54 Cherry St, Massapequa, NY, 11758-5117
person
Provider Profile Details
NPI Number
1669139085
Provider Name
Stephanie Doughty Kilgannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
54 Cherry St, Massapequa, NY, 11758-5117
Phone Number
718-791-7487
Fax Number
Provider Enumeration Date
11/19/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
54 Cherry St
City
State
Zip
11758-5117
Phone Number
718-791-7487
Fax Number
person
Provider Business Mailing Address Details
Address
54 Cherry St
City
State
Zip
11758-5117
Phone Number
718-791-7487
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
()
Definition
Definition to come...
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