Individual
BRITT JESSICA MYRHOL-CLARKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 SEAVIEW AVE BLDG 10, STATEN ISLAND, NY 10305-3409
(718) 667-2429
(718) 667-2665
Mailing address
39 CHURCHHILL DOWNS DR, TINTON FALLS, NJ 07724-3804
(718) 490-7059
(718) 667-2665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P06912
NJ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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