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Jacqueline Moon
Mental Health Counselor in Commack, New York
NPI 1588011464

Jacqueline Moon is a Mental Health Counselor based in Commack, NY and is specialized in Mental Health. Jacqueline Moon practices in Commack, NY. The NPI Number for Jacqueline Moon is 1588011464 and holds a License No. 012058 (New York).

The current practice location address for Jacqueline Moon is 368 Veterans Memorial Hwy Ste 3, Commack, NY and can be reached out via phone at 631-533-0315.

Location: 368 Veterans Memorial Hwy Ste 3, Commack, NY, 11725-4322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588011464
Provider Name
Jacqueline Moon
Credential
Provider Entity Type
Individual
Gender
Female
Address
368 Veterans Memorial Hwy Ste 3, Commack, NY, 11725-4322
Phone Number
631-533-0315
Fax Number
Provider Enumeration Date
05/19/2016
Last Update Date
01/18/2025
institution
Provider Business Practice Location Address Details
Address
368 Veterans Memorial Hwy Ste 3
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider Business Mailing Address Details
Address
368 Veterans Memorial Hwy Ste 3
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
012058 (New York)
Definition
Definition to come...
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