Individual
MS. CARLINE JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 540-7597
(718) 504-4797
Mailing address
579 COURTLANDT AVE, BRONX, NY 10451-5013
(718) 540-7597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
013169
NY
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
02/07/2026
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