Organization
JESSICA SCOTT, LMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SCOTT LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(570) 269-0287
Entity
Organization
Contact information
Practice address
4503 NEWTOWN RD, ASTORIA, NY 11103-1622
(570) 269-0287
Mailing address
4503 NEWTOWN RD, ASTORIA, NY 11103-1622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
006068
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
006068
NY
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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