Provider Demographics
NPI:1619244233
Name:SINARSKI, JESSICA SANDRA (LPCMH)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:SANDRA
Last Name:SINARSKI
Suffix:
Gender:F
Credentials:LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 N JAMES ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWPORT
Mailing Address - State:DE
Mailing Address - Zip Code:19804-3169
Mailing Address - Country:US
Mailing Address - Phone:302-633-0301
Mailing Address - Fax:302-633-0331
Practice Address - Street 1:240 N JAMES ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWPORT
Practice Address - State:DE
Practice Address - Zip Code:19804-3169
Practice Address - Country:US
Practice Address - Phone:302-633-0301
Practice Address - Fax:302-633-0331
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004602-1101YM0800X
DEPC-0000572101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health