Individual
JESSICA ASHLEY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7261 113TH ST APT M2, FOREST HILLS, NY 11375-5607
(631) 626-6623
Mailing address
7261 113TH ST APT M2, FOREST HILLS, NY 11375-5607
(631) 626-6623
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002596-01
NY
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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