Individual
JASMINE CERISE CENICEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
220 N BALLSTON AVE, SCOTIA, NY 12302-2533
(518) 374-3514
(518) 374-9193
Mailing address
PO BOX 1442, TROY, NY 12181-1442
(518) 374-3514
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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