Individual
JACQUELINE CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
8 PEARCE PL, GREAT NECK, NY 11021-3239
(516) 790-5038
Mailing address
8 PEARCE PL, GREAT NECK, NY 11021-3239
(516) 790-5038
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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