Individual provider · Type 1 NPI

Carline Jacques, LMHC

Mental Health Counselor · Bronx, NY

NPI number 1861961476 Active

Practice location

579 Courtlandt Ave
Bronx, NY 10451-5013

Fax (718) 504-4797

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X013169 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1861961476

Carline Jacques, LMHC's National Provider Identifier is 1861961476, issued on Nov 13, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Feb 7, 2026.