Organization
REIMAGINE YOU THERAPY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHAW LCSW (OWNER/PSYCHOTHERAPIST)
(845) 237-3977
Entity
Organization
Contact information
Practice address
260 KINGS MALL CT #167, KINGSTON, NY 12401-1574
(845) 237-3977
Mailing address
260 KINGS MALL CT #167, KINGSTON, NY 12401-1574
(845) 237-3977
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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