Jessica Guadalupe Roman
Counselor, Mental Health in Bronx, NY. Individual provider (NPI-1).
NPI number1942021282
StatusActive
Last updated in NPPESOct 19, 2024
Details
- NPI
- 1942021282
- Entity type
- Individual (NPI-1)
- Name
- Jessica Guadalupe Roman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2024
- Certification date
- Oct 13, 2024
- Last updated
- Oct 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3249 Kingsbridge AveBronx, NY 10463-5514
Phone 646-204-2295
Mailing address
2487 Grand Ave Apt 3cBronx, NY 10468-5128
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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