Individual
JENNIFER LIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
(631) 385-7795
Mailing address
11417 DALIAN CT, COLLEGE POINT, NY 11356-1574
(347) 502-3222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
004523
NY
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
03/17/2018
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