Jalana Shereese, Lcsw, Pllc | |
5774 246th Cres Fl 1 Douglaston NY 11362-1908 | |
(646) 883-0197 | |
Not Available |
Full Name | Jalana Shereese, Lcsw, Pllc |
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Speciality | Social Worker - Clinical |
Location | 5774 246th Cres Fl 1, Douglaston, New York |
Authorized Official Name and Position | Jalana Harris (OWNER PRIVATE PRACTICE) |
Authorized Official Contact | 6468830197 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jalana Shereese, Lcsw, Pllc 24825 Northern Blvd # 1j-137 Little Neck NY 11362-1211 Ph: (646) 883-0197 | Jalana Shereese, Lcsw, Pllc 5774 246th Cres Fl 1 Douglaston NY 11362-1908 Ph: (646) 883-0197 |
NPI Number | 1285258392 |
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Provider Enumeration Date | 06/04/2020 |
Last Update Date | 06/04/2020 |
Certification Date | 06/04/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285258392 | NPI | - | NPPES |
034714410 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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