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Individual
JEANETTE S FARIAS
Active
Individual
JEANETTE S FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P127108
NY
Other
Enumeration date
03/05/2024
Last updated
04/28/2024
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