Individual
MS. JEANETTE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 ROVENSKY AVE, NEWPORT, RI 02840-4275
(516) 884-1795
Mailing address
26 ROVENSKY AVE, NEWPORT, RI 02840-4275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
323352354
NY
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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