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NPI Code Detail

MEDICARE: JESSICA LAUREN LENSE LMHC

MEDICARE: JESSICA LAUREN LENSE LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorP01809NY

General Provider Information

NPI Number : 1528417722
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LAUREN LENSE LMHC
Provider Business Mailing Address
First Line : 435 E 119TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-3627
Country : US
Telephone Number : 212-360-4002
Fax Number : 212-360-4012
Provider Business Practice Location Address
First Line : 435 E 119TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-3627
Country : US
Telephone Number : 212-360-4002
Fax Number : 212-360-4012
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 03/30/2020

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Directions to “ JESSICA LAUREN LENSE LMHC” Practice Location

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