JESSYKA ROSEBURG
NPI 1225786361
Counselor - Mental Health in Elmont, NY
Active since March 17, 2022
About Jessyka Roseburg NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSYKA ROSEBURG (NPI 1225786361) is an individual mental health provider in Elmont, New York and active in the NPI registry since March 2022.
NPPES Registry Identity
NPI1225786361
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSYKA ROSEBURG
Location Address1325 M STElmont, NY 11003-4744
Mailing Address2937 Davis St # 2Oceanside, NY 11572-2014 · (917) 531-7665
Phone(516) 519-3372
Sole ProprietorYes
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1225786361 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1325 M ST, Elmont, NY 11003
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225786361, enumerated as an "individual" on March 17, 2022.
The provider is located at 1325 M ST ELMONT, NY 11003 and the phone number is (516) 519-3372.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
