Individual
JESSICA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
691 SMITHFIELD RD, MILLERTON, NY 12546-4418
(516) 946-0210
Mailing address
691 SMITHFIELD RD, MILLERTON, NY 12546-4418
(516) 946-0210
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000885
NY
Other
Enumeration date
09/18/2015
Last updated
09/18/2015
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