Individual provider · Type 1 NPI

Jacob D. Thornton, MHC-LIMITED PERMIT

Mental Health Counselor · East Elmhurst, NY

NPI number 1063980068 Active

Practice location

2626 75th St
East Elmhurst, NY 11370-1427

Fax (718) 350-3072

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP10428 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1063980068

Jacob D. Thornton, MHC-LIMITED PERMIT's National Provider Identifier is 1063980068, issued on Nov 7, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in East Elmhurst, NY. The record was last updated on Nov 7, 2018.