Individual provider · Type 1 NPI

Jillian Lauren Decoursey, LMHC

Mental Health Counselor · Middle Village, NY

NPI number 1093132391 Active

Practice location

7001 Metropolitan Ave
Middle Village, NY 11379

Call (718) 440-9637 Map

Mailing address

22405 Kingsbury Ave, A
Oakland Gardens, NY 11364-3626

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005490-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1093132391

Jillian Lauren Decoursey, LMHC's National Provider Identifier is 1093132391, issued on Mar 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Middle Village, NY. The record was last updated on Mar 25, 2014.