Jacobsonperez, Selena
Jacobsonperez, Selena is an individual health care provider with primary practice located at 9916 67Th Rd , Forest Hills NY 11375-3051. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jacobsonperez, Selena can be contacted via phone (718) 520-0834.Contact Information
Primary practice address
9916 67Th Rd
Forest Hills NY 11375-3051
Phone: (718) 520-0834
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R071400 | New York |
Profile Details
| NPI number | 1326009416 |
|---|---|
| LBN Legal business name | Jacobsonperez, Selena |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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