Jacob D. Thornton, MHC-LIMITED PERMIT
NPI #1063980068 in East Elmhurst, New York
Provider Information
- NPI Number
- 1063980068
- Entity Type
- Individual
- Name
- Jacob D. Thornton, MHC-LIMITED PERMIT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- MHC-LIMITED PERMIT
- Enumeration Date
- Nov 7, 2018
- Last Updated
- Nov 7, 2018
Practice Location
- Address
- 2626 75TH ST
- City
- East Elmhurst
- State
- New York
- ZIP Code
- 11370-1427
- Phone
- (347) 448-4770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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