Search › New York › 104100000X
Jessica Koenke, LMSW
NPI 1154831022 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1 Route 109
West Babylon, NY 11704 - Phone
- (631) 321-8229
- Fax
- (631) 321-5158
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York