Individual provider · Type 1 NPI
Jhonatan Illera
Mental Health Counselor · Fresh Meadows, NY
NPI number
1225494883
Active
Practice location
19415D 65th Cres
Fresh Meadows, NY 11365-4058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 009391 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1225494883
Jhonatan Illera's National Provider Identifier is 1225494883, issued on Jan 12, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fresh Meadows, NY. The record was last updated on May 26, 2024.