Decoursey, Jillian Lauren
Decoursey, Jillian Lauren is an individual health care provider with primary practice located at 7001 Metropolitan Ave , Middle Village NY 11379. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Decoursey, Jillian Lauren can be contacted via phone (718) 440-9637.Contact Information
Primary practice address
7001 Metropolitan Ave
Middle Village NY 11379
Phone: (718) 440-9637
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 005490-1 | New York |
Profile Details
NPI number | 1093132391 |
---|---|
LBN Legal business name | Decoursey, Jillian Lauren |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 25th, 2014 |
Last updated | Mar 25th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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