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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers