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Miss Colleen Grace Gilligan
Professional Counselor in Commack, New York
NPI 1821370800

Colleen Grace Gilligan is a Professional Counselor based in Brentwood, NY and is specialized in Professional. Colleen Grace Gilligan practices in Commack, NY. The NPI Number for Colleen Grace Gilligan is 1821370800 and holds a License No. (New York).

The current practice location address for Colleen Grace Gilligan is 2171 Jericho Tpke Ste Ll3, Commack, NY and can be reached out via phone at 631-603-5002.

Location: 2171 Jericho Tpke Ste Ll3, Commack, NY, 11717-4625
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821370800
Provider Name
Colleen Grace Gilligan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2171 Jericho Tpke Ste Ll3, Commack, NY, 11717-4625
Phone Number
631-603-5002
Fax Number
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
823156527 01 NY PSCHOTHERAPY/DIRECT CARE
institution
Provider Business Practice Location Address Details
Address
2171 Jericho Tpke Ste Ll3
City
Commack
State
New York
Zip
11725-2900
Phone Number
631-603-5002
Fax Number
person
Provider Business Mailing Address Details
Address
2171 Jericho Tpke Ste Ll3
City
Commack
State
New York
Zip
11725-2900
Phone Number
631-603-5002
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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