| NPI | 1275946493 |
|---|---|
| Other Name | CJM COUNSELING LICENSED CLINICAL SOCIAL WORKERS P.C. |
| Entity Type | Organization |
| Authorized Contact | JOAN MARIE RYAN Officer 631-252-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077909) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 077909) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: NY 077909) | |
| 102L00000X Psychoanalyst (Licence: NY 077909) | |
| 103K00000X Behavior Analyst (Licence: NY 077909) | |
| 104100000X Social Worker (Licence: NY 077909) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 077909) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-09-18 |