Individual provider · Type 1 NPI

Jessica Pucker, LMSW

Mental Health Counselor · New York, NY

NPI number 1336723956 Active

Practice location

42 Broadway
New York, NY 10004-1617

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336723956

Jessica Pucker, LMSW's National Provider Identifier is 1336723956, issued on May 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on May 10, 2021.