| NPI | 1053713370 |
|---|---|
| Other Name | COMMUNITY COUNSELING AND PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | LANA GAITON Owner 347-613-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73 073064) |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |