Individual
BEVERLY JONES SQUALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9729 64TH RD, REGO PARK, NY 11374-2240
(718) 896-3400
(718) 459-5621
Mailing address
630 LENOX AVE, APT. 16P, NEW YORK, NY 10037-1247
(917) 701-3493
(212) 926-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244019
—
NY
Enumeration date
12/29/2009
Last updated
12/29/2009
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