Individual provider · Type 1 NPI

Jaclyn Marie Fennell

Mental Health Counselor · New York, NY

NPI number 1689291585 Active

Practice location

181 Canal St
New York, NY 10013-4512

Call (212) 966-9537 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689291585

Jaclyn Marie Fennell's National Provider Identifier is 1689291585, issued on Jun 26, 2020. 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 Jun 26, 2020.