Provider Demographics
NPI:1942718655
Name:DEJESUS, APRIL SHAWN (LMHC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:SHAWN
Last Name:DEJESUS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13449 166TH PL
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-3844
Mailing Address - Country:US
Mailing Address - Phone:718-810-9219
Mailing Address - Fax:
Practice Address - Street 1:11402 GUY R BREWER BLVD STE 225
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-1234
Practice Address - Country:US
Practice Address - Phone:718-810-9219
Practice Address - Fax:347-426-5067
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
101YM0800XOtherMENTAL HEALTH COUNSELOR PROVIDERS
NY101YM0800XOtherMENTAL HEALTH COUNSELOR PROVIDERS