Provider Demographics
NPI:1689089575
Name:KLASSEL, JAMIE (LMHC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:KLASSEL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:
Other - Last Name:WEINER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:322 8TH AVE
Mailing Address - Street 2:SUITE 802
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-8001
Mailing Address - Country:US
Mailing Address - Phone:212-243-2830
Mailing Address - Fax:
Practice Address - Street 1:322 8TH AVE
Practice Address - Street 2:SUITE 802
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-8001
Practice Address - Country:US
Practice Address - Phone:212-243-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006069-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health