Individual provider · Type 1 NPI

Jaminah Bristow

Mental Health Counselor · Forest Hills, NY

NPI number 1114254091 Active

Practice location

10205 63rd Rd
Forest Hills, NY 11375-1048

Call (347) 426-1190 Map

Fax (718) 459-0283

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114254091

Jaminah Bristow's National Provider Identifier is 1114254091, issued on Nov 12, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Forest Hills, NY. The record was last updated on Nov 12, 2009.