Individual provider · Type 1 NPI

Jasmin Desrie Clark

Mental Health Counselor · South Ozone Park, NY

NPI number 1679062293 Active

Practice location

11578 Lefferts Blvd # 2
South Ozone Park, NY 11420-2406

Call (646) 281-7793 Map

Mailing address

125 Broad St,, 3 Rd Floor
New York, NY 10004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNYCPS-P-2029 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1679062293

Jasmin Desrie Clark's National Provider Identifier is 1679062293, issued on May 9, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Ozone Park, NY. The record was last updated on May 9, 2018.