Individual
JELEN C SURIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
865 E 4TH ST, BETHLEHEM, PA 18015-1935
(484) 221-9136
(484) 221-9130
Mailing address
2701 EMMONS AVE, BROOKLYN, NY 11235-2209
(718) 368-6291
(718) 368-6290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/10/2010
Last updated
06/29/2012
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