| St. George Community Counseling Services | |
|
120 Stuyvesant Pl Staten Island NY 10301-1989 | |
| (718) 447-7422 | |
| (718) 447-7421 |
| Full Name | St. George Community Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 120 Stuyvesant Pl, Staten Island, New York |
| Authorized Official Name and Position | Patricia Ann Thompson (CEO) |
| Authorized Official Contact | 7184477422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. George Community Counseling Services 120 Stuyvesant Pl Staten Island NY 10301-1989 Ph: (718) 447-7422 | St. George Community Counseling Services 120 Stuyvesant Pl Staten Island NY 10301-1989 Ph: (718) 447-7422 |
| NPI Number | 1073937314 |
|---|---|
| Provider Enumeration Date | 02/06/2014 |
| Last Update Date | 02/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073937314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 075589 (New York) | Primary |
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