Individual provider · Type 1 NPI

Jessica Rae Balsamo, MHC-LP

Mental Health Counselor · Wyandanch, NY

NPI number 1083299457 Active

Practice location

234 Long Island Ave
Wyandanch, NY 11798-3015

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X18-P134322-02 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1083299457

Jessica Rae Balsamo, MHC-LP's National Provider Identifier is 1083299457, issued on Mar 16, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wyandanch, NY. The record was last updated on Jul 24, 2025.