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Organization

JVL MENTAL HEALTH CONSULT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE VAN-LARE (OWNER)
(631) 831-0223
Entity
Organization

Contact information

Practice address
321 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-3447
(631) 831-0223
Mailing address
321 ROCKAWAY PKWY, VALLEY STREAM, NY 11580-3447
(631) 831-0223

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
02/28/2024
Last updated
02/28/2024
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