JHONATAN ILLERA

FRESH MEADOWS, NY
NPI1225494883
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  009391)
Enumeration Date2016-01-12
Last Update Date2024-05-26
Business Address
JHONATAN ILLERA
19415D 65TH CRES
FRESH MEADOWS, NY 11365-4058
Phone number: 646-244-9987
Mailing Address
JHONATAN ILLERA
19415D 65TH CRES
FRESH MEADOWS, NY 11365-4058
Phone number: 646-244-9987
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