Doctor Name: | JESSICA N PAKATAR |
NPI Number: | 1861830523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 083958-1 |
Business Practice Address: | 69 Church St Hoosick Falls, NY - 120901642 |
Business Phone Number: | 5186860694 |
Business Fax Number: | 5186864862 |
Mailing Address: | 1600 7th Ave, TROY |
State: | NY |
Postal Code: | 121803410 |
Phone Number: | 5186860694 |
Fax Number: | 5186864862 |
NPI Enumeration Date: | 06/04/2013 |
NPI Last Update Date: | 06/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 083958-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |