| Jat Psychotherapy Lcsw Pllc | |
|
5812 Queens Blvd Ste 21228 Woodside NY 11377-7765 | |
| (646) 461-0956 | |
| Not Available |
| Full Name | Jat Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5812 Queens Blvd Ste 21228, Woodside, New York |
| Authorized Official Name and Position | Julissa S Adames-torres (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6464610956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jat Psychotherapy Lcsw Pllc 5812 Queens Blvd Ste 21228 Woodside NY 11377-7765 Ph: () - | Jat Psychotherapy Lcsw Pllc 5812 Queens Blvd Ste 21228 Woodside NY 11377-7765 Ph: (646) 461-0956 |
| NPI Number | 1457120958 |
|---|---|
| Provider Enumeration Date | 12/26/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457120958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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