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Organization
JAT PSYCHOTHERAPY LCSW PLLC
Active
Organization
JAT PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULISSA S ADAMES-TORRES LCSW, PHD CANDIDATE (OWNER/CLINICAL DIRECTOR)
(646) 461-0956
Entity
Organization
Contact information
Practice address
5812 QUEENS BLVD STE 21228, WOODSIDE, NY 11377-7765
(646) 461-0956
Mailing address
5812 QUEENS BLVD STE 21228, WOODSIDE, NY 11377-7765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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