Individual provider · Type 1 NPI
Jennifer L. Diperna Soho, LMHC
Mental Health Counselor · Staten Island, NY
NPI number
1356783013
Active
Practice location
3930 Richmond Avenue #105
Staten Island, NY 10312-5104
Mailing address
12 Franklin Ln Apt E
Staten Island, NY 10306-1175
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 005803-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1356783013
Jennifer L. Diperna Soho, LMHC's National Provider Identifier is 1356783013, issued on Jul 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jul 22, 2020.