| Apple Tree Lcsw, Pc. | |
|
3630 Hill Blvd Ste 204a Jefferson Valley NY 10535-1520 | |
| (914) 302-2858 | |
| (914) 302-2859 |
| Full Name | Apple Tree Lcsw, Pc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3630 Hill Blvd Ste 204a, Jefferson Valley, New York |
| Authorized Official Name and Position | Jennifer Kantor Jackman (OWNER, LICENSED CLINICAL SOCIAL WOR) |
| Authorized Official Contact | 9147726417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apple Tree Lcsw, Pc. 3180 Woodfield Ct Yorktown Heights NY 10598-2826 Ph: (914) 772-6417 | Apple Tree Lcsw, Pc. 3630 Hill Blvd Ste 204a Jefferson Valley NY 10535-1520 Ph: (914) 302-2858 |
| NPI Number | 1952033144 |
|---|---|
| Provider Enumeration Date | 06/27/2022 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952033144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |