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Mr. Jack Peter Consiglio JR., LMHC
Student in an Organized Health Care Education/Training Program in White Plains, New York
NPI 1033687447

Jack Peter Consiglio JR. is a Student in an Organized Health Care Education/Training Program based in White Plains, NY. Jack Peter Consiglio JR. practices in White Plains, NY and has the professional credentials of LMHC. The NPI Number for Jack Peter Consiglio JR. is 1033687447 and holds a License No. 011924-01 (New York).

The current practice location address for Jack Peter Consiglio JR. is 19 Greenridge Ave, White Plains, NY and can be reached out via phone at 914-949-7680 and via fax at 914-949-3525.

Location: 19 Greenridge Ave, White Plains, NY, 10605-1201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033687447
Provider Name
Jack Peter Consiglio JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
19 Greenridge Ave, White Plains, NY, 10605-1201
Phone Number
914-949-7680
Fax Number
914-949-3525
Provider Enumeration Date
11/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19 Greenridge Ave
City
White Plains
State
New York
Zip
10605-1201
Phone Number
914-949-7680
Fax Number
914-949-3525
person
Provider Business Mailing Address Details
Address
19 Greenridge Ave
City
White Plains
State
New York
Zip
10605-1201
Phone Number
914-949-7680
Fax Number
914-949-3525
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
011924-01 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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