Individual provider · Type 1 NPI

Miles Xavier Conklin

Mental Health Counselor · Jamaica, NY

NPI number 1356177299 Active

Practice location

16110 Jamaica Ave Ste 306
Jamaica, NY 11432-6149

Call (718) 674-1000 Map

Mailing address

10124 134th St
South Richmond Hill, NY 11419-2307

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356177299

Miles Xavier Conklin's National Provider Identifier is 1356177299, issued on Sep 9, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica, NY. The record was last updated on Sep 9, 2024.