Jacob Thornton, MHC-LIMITED PERMIT

NPI 1063980068 · on the registry since 2018

Practice

Address: 2626 75th St
East Elmhurst, NY 11370
Phone: (347) 448-4770
Fax: (718) 350-3072
Organisation at this address: Lexington School For The Deaf
Lexington Vocational Services Center, Inc.
Lexington Center For Mental Health Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-11-07

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