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Tokunbo Jimmy Jose
Mental Health Counselor in Valley Stream, New York
NPI 1407508799

Tokunbo Jimmy Jose is a Mental Health Counselor based in Valley Stream, NY and is specialized in Mental Health. Tokunbo Jimmy Jose practices in Valley Stream, NY. The NPI Number for Tokunbo Jimmy Jose is 1407508799 and holds a License No. P113600 (New York).

The current practice location address for Tokunbo Jimmy Jose is 41B W Merrick Rd, Valley Stream, NY and can be reached out via phone at 516-459-2920.

Location: 41B W Merrick Rd, Valley Stream, NY, 11580-5756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407508799
Provider Name
Tokunbo Jimmy Jose
Credential
Provider Entity Type
Individual
Gender
Male
Address
41B W Merrick Rd, Valley Stream, NY, 11580-5756
Phone Number
516-459-2920
Fax Number
Provider Enumeration Date
01/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
41B W Merrick Rd
City
Valley Stream
State
New York
Zip
11580-5756
Phone Number
516-459-2920
Fax Number
person
Provider Business Mailing Address Details
Address
41B W Merrick Rd
City
Valley Stream
State
New York
Zip
11580-5756
Phone Number
516-459-2920
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P113600 (New York)
Definition
Definition to come...
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