Individual
MS. JENNIFER LAUREN O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC, CASACT
Contact information
Practice address
6207 WOODSIDE AVE 4TH FLOOR, WOODSIDE, NY 11377
(718) 898-5085
(718) 898-5582
Mailing address
6583 160TH ST APT 1J, FRESH MEADOWS, NY 11365-2515
(347) 515-1180
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
01/03/2013
Last updated
01/04/2013
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