Kucskar, Jillian Marie

Kucskar, Jillian Marie is an individual health care provider with primary practice located at 6 Wellness Way Ste 112 , Latham NY 12110-2156. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Kucskar, Jillian Marie can be contacted via phone (518) 881-1109.

Contact Information

Primary practice address
6 Wellness Way Ste 112 Latham NY 12110-2156
Phone: (518) 881-1109
Fax: (518) 213-6985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 005563 New York

Profile Details

NPI number 1295037794
LBN Legal business name Kucskar, Jillian Marie
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2010
Last updated Feb 26th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1295037794 NPPES
New York MEDICAID 00318805

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