# MRS. JALISE N MUNOZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720363914
- **Gender:** F
- **Credential:** LMHC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 006593-1 | NY | Yes |

## Other

- **Enumeration date:** 10/19/2011
- **Last updated:** 06/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 006593-1 | LICENSE NUMBER | NY |