Individual provider · Type 1 NPI

Jessica Nelson, LCSW

Mental Health Counselor · Forest Hills, NY

NPI number 1154565489 Active

Practice location

104 70 Queens Blvd, Suite 200
Forest Hills, NY 11375-3694

Call (718) 275-6010 Map

Fax (718) 275-6062

Mailing address

104 70 Queens Boulevard, Suite 200
Forest Hill, NY 11375-3694

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X075263 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1154565489

Jessica Nelson, LCSW's National Provider Identifier is 1154565489, issued on Apr 30, 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 Apr 30, 2009.