Organization · NPI-2

Jessica Scott, Lmhc

Clinic/Center, Mental Health (Including Community Mental Health Center) · Astoria, NY

NPI number1982014445
StatusActive
Last updated in NPPESMay 5, 2014

Details

NPI
1982014445
Entity type
Organization (NPI-2)
Legal business name
Jessica Scott, Lmhc
Organization subpart
No
Enumeration date
May 5, 2014
Last updated
May 5, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)006068NYYes
251S00000X Community/Behavioral Health006068NY

Practice location

4503 Newtown Rd
Astoria, NY 11103-1622

Phone 570-269-0287

Mailing address

4503 Newtown Rd
Astoria, NY 11103-1622

Authorized official

Jessica Scott
Licensed Mental Health Counselor
5702690287

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