David D. Ilson, LCSW Valid NPI

Individual provider · Mental Health Counselor · Rockville Centre, NY

NPI

1700800521

Type

Individual (Type 1)

Primary specialty

Mental Health Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YM0800X

License number

PR033101-1 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-26

Last updated

2007-07-08