Individual provider · Type 1 NPI
Jilleen Elizabeth Gorham, MS, LMHC
Mental Health Counselor · Baldwinsville, NY
NPI number
1164076097
Active
Practice location
721 Idlewood Blvd
Baldwinsville, NY 13027-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 009390 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1164076097
Jilleen Elizabeth Gorham, MS, LMHC's National Provider Identifier is 1164076097, issued on Jul 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baldwinsville, NY. The record was last updated on Sep 29, 2026.