Individual provider · Type 1 NPI

Jacquelyn Harris

Mental Health Counselor · Port Jefferson, NY

NPI number 1285502500 Active

Practice location

118 Spring St
Port Jefferson, NY 11777-1817

Call (631) 476-0564 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X129069 (NY)

Mental Health Counselor: Definition to come...

13 other providers at this address

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About NPI 1285502500

Jacquelyn Harris's National Provider Identifier is 1285502500, issued on Oct 28, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port Jefferson, NY. The record was last updated on Oct 28, 2025.