Individual
JESSICA FOUNTAS MALIONEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
37 HYATT RD, BRIARCLIFF MANOR, NY 10510-2609
(917) 488-6045
Mailing address
37 HYATT RD, BRIARCLIFF MANOR, NY 10510-2609
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002010
NY
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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