Kingsley, Debra Joan
Kingsley, Debra Joan is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kingsley, Debra Joan can be contacted via phone (631) 365-9839.Contact Information
Primary practice address
646 Main St
Port Jefferson NY 11777-2235
Phone: (631) 365-9839
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 003628 | New York |
Profile Details
| NPI number | 1528119294 |
|---|---|
| LBN Legal business name | Kingsley, Debra Joan |
| Credentials | MENTAL HEALTH COUNSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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