Organization Name: | CONNECTFULNESS COUNSELING PLLC |
NPI Number: | 1043664147 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REBECCA WONG (LCSW) |
Mailing Address: | 521 Main St New Paltz |
State: | NY US |
Postal Code: | 125611609 |
Phone Number: | 8452425214 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2016 |
NPI Last Update Date: | 04/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 076600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |