Individual provider · Type 1 NPI

Jessica Pforte

Mental Health Counselor · Newburgh, NY

NPI number 1053879205 Active

Practice location

5 Hdsn Vly Prof Plz
Newburgh, NY 12550-3150

Mailing address

203 Mills Rd
Walden, NY 12586-2825

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X008504 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1053879205

Jessica Pforte's National Provider Identifier is 1053879205, issued on Mar 6, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newburgh, NY. The record was last updated on Mar 6, 2019.