Organization
J.COREA MENTAL HEALTH COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIA COREA LMHC, CASAC-T (CEO, MENTAL HEALTH COUNSELOR)
(516) 280-7285
Entity
Organization
Contact information
Practice address
585 STEWART AVE STE 700, GARDEN CITY, NY 11530-4785
(516) 280-7285
(516) 280-7286
Mailing address
585 STEWART AVE STE 700, GARDEN CITY, NY 11530-4785
(516) 351-7432
(516) 280-7286
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
005894
NY
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
08/16/2016
Last updated
04/26/2022
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