| Jentex Training & Consulting | |
|
159 Twin Lawns Ave Brentwood NY 11717-6019 | |
| (631) 231-4704 | |
| (631) 231-4704 |
| Full Name | Jentex Training & Consulting |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 159 Twin Lawns Ave, Brentwood, New York |
| Authorized Official Name and Position | Dawn Shedrick (CEO) |
| Authorized Official Contact | 6312314704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jentex Training & Consulting Po Box 430 Central Islip NY 11722-0430 Ph: (631) 231-4704 | Jentex Training & Consulting 159 Twin Lawns Ave Brentwood NY 11717-6019 Ph: (631) 231-4704 |
| NPI Number | 1609380435 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 12/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609380435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 076384 (New York) | Primary |
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