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Organization
JERICHO CONSULTING INC.
Active
Organization
JERICHO CONSULTING INC.
Active
Other names
NORTH ROCKAND BEHAVIORAL CTR.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RAFAELINA MERCEDES ACOSTA L.C.S.W. (PSYCHOTHERAPIST)
(845) 300-7972
Entity
Organization
Contact information
Practice address
27 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 300-7972
(845) 270-7938
Mailing address
48 CLOVE AVE, HAVERSTRAW, NY 10927-1804
(845) 300-7972
(845) 270-7933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
071021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1062740
—
NY
Enumeration date
08/19/2006
Last updated
09/22/2009
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