Individual
JEAN A ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8854 204TH ST, HOLLIS, NY 11423-2206
(347) 558-3851
Mailing address
8854 204TH ST, HOLLIS, NY 11423-2206
(347) 558-3851
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
07/22/2026
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