Individual ProviderJacqueline Marie VerasCounselorBehavioral Health & Social Service ProvidersPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612(347) 671-7479PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Marie Veras does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 1:08 PM.Profile DetailsProvider ID1477242089Provider TypeIndividualFull NameVeras, Jacqueline MarieCredentialMHCGenderFemaleSole ProprietorNoEnumeration Date5/1/2023Last Updated5/1/2023Contact InformationPractice LocationPractice Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(347) 671-7479FaxUnlisted FaxMailing LocationMailing Address2460 Victory Blvd, Staten Island, NY 10314-6612Phone(347) 671-7479FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseP114358New York