person
Mrs. Jillien Amensie Shaw
Mental Health Counselor in Tuckahoe, New York
NPI 1912605635

Jillien Amensie Shaw is a Mental Health Counselor based in Newburgh, NY and is specialized in Mental Health. Jillien Amensie Shaw practices in Tuckahoe, NY. The NPI Number for Jillien Amensie Shaw is 1912605635 and holds a License No. P119122 (New York).

The current practice location address for Jillien Amensie Shaw is 92 Yonkers Ave, Tuckahoe, NY and can be reached out via phone at 914-337-6033 and via fax at 914-337-7218.

Location: 92 Yonkers Ave, Tuckahoe, NY, 12550-8727
person
Provider Profile Details
NPI Number
1912605635
Provider Name
Jillien Amensie Shaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
92 Yonkers Ave, Tuckahoe, NY, 12550-8727
Phone Number
914-337-6033
Fax Number
914-337-7218
Provider Enumeration Date
02/21/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
153143259 01 NY DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
92 Yonkers Ave
City
State
Zip
10707-3911
Phone Number
914-337-6033
Fax Number
914-337-7218
person
Provider Business Mailing Address Details
Address
92 Yonkers Ave
City
State
Zip
10707-3911
Phone Number
914-337-6033
Fax Number
914-337-7218
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P119122 (New York)
Definition
Definition to come...
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