Individual provider · Type 1 NPI

Jack Paute Urdiales

Mental Health Counselor · Utica, NY

NPI number 1558285288 Active

Practice location

500 Whitesboro St
Utica, NY 13502-3015

Mailing address

103 Harding Pl
Utica, NY 13501-4413

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1558285288

Jack Paute Urdiales's National Provider Identifier is 1558285288, issued on Aug 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Utica, NY. The record was last updated on Aug 6, 2026.