is a Mental Health in Jamaica, New York. practices all healthcare services and medical treatments related to Mental Health. The NPI Number for is 1104083146. The last update date is .
's current location address is 17224 133rd Ave Apt 2g, Jamaica, New York. You can contact this provider via phone number 7189497233 and fax number 7186260690. The mailing address for is 17224 133rd Ave Apt 2g, Jamaica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 17224 133rd Ave Apt 2g, Jamaica, New York |
| Phone Number | 7189497233 |
| Fax Number | 7186260690 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104083146 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 17224 133rd Ave Apt 2g |
|---|---|
| City | Jamaica |
| State | New York (NY) |
| Post Code | 114343901 |
| Phone Number | 7189497233 |
| Fax Number | 7186260690 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 244019 | NY | -- |
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