Individual
JACQUELINE NICHOLS-JEUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1143 47TH AVE, LONG ISLAND CITY, NY 11101-5465
(718) 551-3529
Mailing address
1143 47TH AVE, LONG ISLAND CITY, NY 11101-5465
(718) 551-3529
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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