Individual provider · Type 1 NPI
Christie Jacques
Mental Health Counselor · Pomona, NY
NPI number
1003547183
Active
Practice location
165 Richard Ct
Pomona, NY 10970-2307
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00598400 (NJ) |
| Mental Health Counselor Primary | 101YM0800X | 00455 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1003547183
Christie Jacques's National Provider Identifier is 1003547183, issued on Jun 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pomona, NY. The record was last updated on Jun 21, 2022.