Individual
JESSICA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(631) 521-8504
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(631) 521-8504
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
767843397
NY
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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