Individual
MS. JILL MASTRANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
6207 WOODSIDE AVE, 4TH FLOOR, WOODSIDE, NY 11377-3576
(718) 898-5085
(718) 898-5582
Mailing address
69 5TH AVE, 8A, NEW YORK, NY 10003-3005
(516) 680-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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