person
Mrs. Jennifer Wyckoff Shore, LMHC
Mental Health Counselor in Centerport, New York
NPI 1164794053

Jennifer Wyckoff Shore is a Mental Health Counselor based in Centerport, NY and is specialized in Mental Health. Jennifer Wyckoff Shore practices in Centerport, NY and has the professional credentials of LMHC. The NPI Number for Jennifer Wyckoff Shore is 1164794053 and holds a License No. 005020 (New York).

The current practice location address for Jennifer Wyckoff Shore is 31 Harbor Park Dr, Centerport, NY and can be reached out via phone at 631-261-2692.

Location: 31 Harbor Park Dr, Centerport, NY, 11721-1623
person
Provider Profile Details
NPI Number
1164794053
Provider Name
Jennifer Wyckoff Shore
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
31 Harbor Park Dr, Centerport, NY, 11721-1623
Phone Number
631-261-2692
Fax Number
Provider Enumeration Date
02/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31 Harbor Park Dr
City
State
Zip
11721-1623
Phone Number
631-261-2692
Fax Number
person
Provider Business Mailing Address Details
Address
31 Harbor Park Dr
City
State
Zip
11721-1623
Phone Number
631-261-2692
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
005020 (New York)
Definition
Definition to come...
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