Organization Name: | JERICHO CONSULTING INC. |
NPI Number: | 1306950977 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAELINA MERCEDES ACOSTA (PSYCHOTHERAPIST) |
Mailing Address: | 27 Liberty Square Mall Stony Point |
State: | NY US |
Postal Code: | 109802400 |
Phone Number: | 8453007972 |
Fax Number: | 8452707938 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 09/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 071021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |