Search › New York › 101YP2500X
Jillian Forman
NPI 1073169587 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2 South Main St., Suite 3
Andover, NY 14806 - Phone
- (607) 281-8815
- Organisation at this address
- Jillian L Forman Lmhc Ncc Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York