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General NPI Number Information
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NPI Number | 1083320410
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Entity Type | Individual
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Provider Name | KATHERINE JAMISON PRE-LICENSED LMHC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 302 5TH AVE FL 8
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City | NEW YORK
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State | NY
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Zip | 10001-3604
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Country | US
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Telephone | 619-456-5084
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Fax |
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Provider Business Mailing Address
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Address Line | 316 BERGEN ST APT 209
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City | BROOKLYN
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State | NY
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Zip | 11217-2096
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Country | US
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Telephone | 619-456-5084
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NY
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