G Jefferson Counseling Svcs

NPI 1053687855 - Social Worker - 1041C0700X

NPI Details
NPI 1053687855
Enumeration Date 03/26/2012
Last Updated 06/04/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name GENA C GENA
Position PSYCHOTHERAPIST, LIFE COACH,
Phone (347) 435-0832
Fax
Practice Location
32 COURT ST
SUITE 904
BROOKLYN NY, 11201-4421, US
Phone (347) 435-0832
Fax
Business Location
772 CLEVELAND ST
BROOKLYN NY, 11208-4402, US
Phone (347) 435-0832
Fax (347) 435-0832
Toxanomy
Taxonomy Code 1041C0700X
License State New York
License Number 074578
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According to our database, G Jefferson Counseling Svcs NPI is 1053687855, taxonomy code is 1041C0700X and license number is 074578, license state is located at New York. G Jefferson Counseling Svcs physically located at 32 Court St, Brooklyn NY, 11201-4421. NPI Number 1033115704 has the healthcare provider type.

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1053687855 NPI number is provided on an as is basis without warranty of any kind. 1053687855 is maintained by the National Plan & Provider Enumeration System. The contents of G Jefferson Counseling Svcs are for informational purposes only.