Provider Demographics
NPI:1902241615
Name:JEAN-CHARLES, KIMYAH M (LMHC)
Entity type:Individual
Prefix:MS
First Name:KIMYAH
Middle Name:M
Last Name:JEAN-CHARLES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KIMYAH
Other - Middle Name:M
Other - Last Name:SAXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:855 ROUTE 146 STE 123
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3890
Mailing Address - Country:US
Mailing Address - Phone:917-553-6841
Mailing Address - Fax:
Practice Address - Street 1:855 ROUTE 146 STE 123
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3890
Practice Address - Country:US
Practice Address - Phone:917-553-6841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-08
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health