Individual provider · Type 1 NPI

Agnes G. Jaiman, LMHC

Mental Health Counselor · Staten Island, NY

NPI number 1679225429 Active

Practice location

235 Port Richmond Ave
Staten Island, NY 10302-1701

Call (718) 876-1732 Map

Fax (718) 815-3462

Mailing address

439 Port Richmond Ave
Staten Island, NY 10302-1714

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X012045 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1679225429

Agnes G. Jaiman, LMHC's National Provider Identifier is 1679225429, issued on Jan 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jan 24, 2022.