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

JACQUELINE MARY IMBEMBA, LMHC

Active Sole Proprietor

JACQUELINE MARY IMBEMBA, LMHC is a Mental Health Counselor healthcare provider located in STATEN ISLAND, New York. NPI 1912573049 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · STATEN ISLAND, NY

Registration Details

NPI Number
1912573049
Provider Type
Individual
Gender
Female
NPI Issued
May 30, 2021 (5.1817802714482 yrs)
Last Updated
May 30, 2021
License
008754
Sole Proprietor
Yes

Practice Information

Address
36 CHALLENGER DR
STATEN ISLAND, NY, 103121564
Browse NY providers · Browse ZIP 10312
Phone
7189742757
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in STATEN ISLAND, NY

Name Credential NPI
MICHELE ANN VIGEANT LMHC 1093725939
PETER R BOUTROS LMHC, CASAC 1477648871
MRS. KAREN SATTLER 1982775151
DR. STEVEN ZUCKERMANN PH.D. 1811062326
DR. LINDA APSEL LCSW,PHD 1588725725
ESTHER TRESSER-POLANCO LMHC 1114066479
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.