Individual provider · Type 1 NPI

Jessica Brynn Suphan

Mental Health Counselor · Malone, NY

NPI number 1093387797 Active

Practice location

31 6th St
Malone, NY 12953-1246

Fax (518) 483-3383

Mailing address

102 Court St Apt 302
Plattsburgh, NY 12901-2815

Other practice locations

  • 8 Tara Ln, Plattsburgh, NY 12901-7224 · (518) 324-7131

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X015323 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1093387797

Jessica Brynn Suphan's National Provider Identifier is 1093387797, issued on Jul 13, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Malone, NY. The record was last updated on Nov 15, 2024.