Organization
JACKIE R. CHESSEN CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE ROSE CHESSEN LCSW (OWNER)
(516) 965-1009
Entity
Organization
Contact information
Practice address
221-17 91 ROAD, QUEENS VILLAGE, NY 11428
(516) 965-1009
Mailing address
221-17 91 ROAD, QUEENS VILLAGE, NY 11428
(516) 965-1009
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
081431
NY
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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