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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACOB D. THORNTON, MHC-LIMITED PERMIT

Active

Mental Health Counselor · EAST ELMHURST, NY

Registration Details

NPI Number
1063980068
Provider Type
Individual
Gender
Male
NPI Issued
Nov 7, 2018 (7.4944022800966 yrs)
Last Updated
Nov 7, 2018
License
P10428 (NY)

Practice Information

Address
2626 75TH ST
EAST ELMHURST, NY, 113701427
Browse NY providers · Browse ZIP 11370
Phone
3474484770
Fax
7183503072
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in EAST ELMHURST, NY

Name Credential NPI
MR. RODNEY M MEANS MA 1801917828
CECELIA J. NORMAN LCSW 1740468149
DORIS ZELAYA MA 1861630774
MS. LILLIAN E ANASTOS M.S. ED 1679700975
LUSANNE YVETTE MASSARO 1649551540
MR. NIKOLAOS KONSTANTAKOS MHC 1487995171
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.