Individual
MRS. JESSICA GIL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8216 34TH AVE, JACKSON HEIGHTS, NY 11372-3051
(347) 678-2071
Mailing address
8216 34TH AVE, SUITE 1B, JACKSON HEIGHTS, NY 11372-3051
(347) 678-2071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23386
NY
Other
Enumeration date
11/20/2009
Last updated
11/20/2009
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