Provider Demographics
NPI:1215202759
Name:STOKES, JENILEE MICHELLE (MC:CASAC-T)
Entity Type:Individual
Prefix:MISS
First Name:JENILEE
Middle Name:MICHELLE
Last Name:STOKES
Suffix:
Gender:F
Credentials:MC:CASAC-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-1901
Mailing Address - Country:US
Mailing Address - Phone:914-421-0400
Mailing Address - Fax:
Practice Address - Street 1:20 CHURCH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1901
Practice Address - Country:US
Practice Address - Phone:914-421-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-16
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)