Organization
ADVANCE CENTER FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WESLEY EDWARDS LCSW (PSYCHOTHERAPIST)
(718) 658-1123
Entity
Organization
Contact information
Practice address
178-10 WEXFORD TERRACE, JAMAICA, NY 11432
(718) 658-1123
(718) 658-7091
Mailing address
115-23 180TH STREET, ST ALBANS, NY 11434
(718) 523-2527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
PR00986 1
NY
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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