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Christie Jacques
Mental Health Counselor in Pomona, New York
NPI 1003547183

Christie Jacques is a Mental Health Counselor based in Pomona, NY and is specialized in Mental Health. Christie Jacques practices in Pomona, NY. The NPI Number for Christie Jacques is 1003547183 and holds a License No. 37PC00598400 (New York).

The current practice location address for Christie Jacques is 165 Richard Ct, Pomona, NY and can be reached out via phone at 845-642-2566.

Location: 165 Richard Ct, Pomona, NY, 10970-2307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003547183
Provider Name
Christie Jacques
Credential
Provider Entity Type
Individual
Gender
Female
Address
165 Richard Ct, Pomona, NY, 10970-2307
Phone Number
845-642-2566
Fax Number
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
165 Richard Ct
City
Pomona
State
New York
Zip
10970-2307
Phone Number
845-642-2566
Fax Number
person
Provider Business Mailing Address Details
Address
165 Richard Ct
City
Pomona
State
New York
Zip
10970-2307
Phone Number
845-642-2566
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
00455 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
37PC00598400 (New Jersey)
Definition
Definition to come...
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