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Individual
JENNIFER J CORONA
Active
Individual
JENNIFER J CORONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32411
NY
101YM0800X
Mental Health Counselor
Primary
012005
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012005
LICENSED MENTAL HEALTH COUNSELOR
NY
01
—
32411
CREDENTIALED ALCOHOL AND SUBSTANCE ABUSE COUNSELOR
NY
Enumeration date
05/18/2022
Last updated
05/18/2022
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