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Domenique Nicole Calvacca
Mental Health Counselor in Lindenhurst, New York
NPI 1861191231

Domenique Nicole Calvacca is a Mental Health Counselor based in Bethpage, NY and is specialized in Mental Health. Domenique Nicole Calvacca practices in Lindenhurst, NY. The NPI Number for Domenique Nicole Calvacca is 1861191231 and holds a License No. 18-P120263-01 (New York).

The current practice location address for Domenique Nicole Calvacca is 138 S 1St St, Lindenhurst, NY and can be reached out via phone at 914-768-3537.

Location: 138 S 1St St, Lindenhurst, NY, 11714-1321
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861191231
Provider Name
Domenique Nicole Calvacca
Credential
Provider Entity Type
Individual
Gender
Female
Address
138 S 1St St, Lindenhurst, NY, 11714-1321
Phone Number
914-768-3537
Fax Number
Provider Enumeration Date
02/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
138 S 1St St
City
Lindenhurst
State
New York
Zip
11757-4930
Phone Number
914-768-3537
Fax Number
person
Provider Business Mailing Address Details
Address
138 S 1St St
City
Lindenhurst
State
New York
Zip
11757-4930
Phone Number
914-768-3537
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
18-P120263-01 (New York)
Definition
Definition to come...
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