Most Relevant Information
Provider Data
NPI Number: | 1003575010 |
Provider Name: | JACQUELYN ANGELA RICE LMHC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 12/17/2021 |
Last Updated: | 09/10/2024 |
Provider Practice Location
368 VETERANS MEMORIAL HWY STE 3
COMMACK
NY
117254322
Practice Location Phone/Fax
Phone: | 6315330315 |
Fax: |
Provider Mailing Location
368 VETERANS MEMORIAL HWY STE 3
COMMACK
NY
117254322
Provider Mailing Phone/Fax
Phone: | 6315330315 |
Fax: |