Individual
AGNES G JAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
235 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1701
(718) 876-1732
(718) 815-3462
Mailing address
439 PORT RICHMOND AVE, STATEN ISLAND, NY 10302-1714
(718) 924-2254
(718) 442-0189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012045
NY
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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