Individual
KISHA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 E EVERGREEN RD, NEW CITY, NY 10956-1921
(516) 496-8383
Mailing address
3 E EVERGREEN RD SUITE 101 PMB 938, NEW CITY, NY 10956
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/21/2023
Last updated
08/21/2023
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