Individual provider · Type 1 NPI

Jerry Feist, PhD

Mental Health Counselor · Ithaca, NY

NPI number 1629136627 Active

Practice location

109 E Seneca St
Ithaca, NY 14850-4307

Call (607) 277-4131 Map

Fax (607) 387-3625

Mailing address

9345 Kingtown Beach Rd
Trumansburg, NY 14886-9235

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X000766 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1629136627

Jerry Feist, PhD's National Provider Identifier is 1629136627, issued on Dec 4, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.