Mack, Jamesh Nicole

Mack, Jamesh Nicole is an individual health care provider with primary practice located at 185 Oval Dr , Islandia NY 11749-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mack, Jamesh Nicole can be contacted via phone (631) 360-3730.

Contact Information

Primary practice address
185 Oval Dr Islandia NY 11749-1402
Phone: (631) 360-3730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0733004836 Virginia

Profile Details

NPI number 1427706050
LBN Legal business name Mack, Jamesh Nicole
Credentials M.S., QMHP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2022
Last updated Mar 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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