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Individual

JINYAN LAI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140
(718) 380-7600
(718) 380-6675
Mailing address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
103K00000X
Behavior Analyst
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
104100000X
Social Worker
1041S0200X
School Social Worker
106H00000X
Marriage & Family Therapist
106S00000X
Behavior Technician
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
07/12/2018
Last updated
07/12/2018
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