Provider Demographics
NPI:1235438052
Name:CONTE, JENNIFER J (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:J
Last Name:CONTE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7854 OSWEGO RD STE 104
Mailing Address - Street 2:
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13090-2137
Mailing Address - Country:US
Mailing Address - Phone:315-216-2160
Mailing Address - Fax:
Practice Address - Street 1:7854 OSWEGO RD STE 104
Practice Address - Street 2:
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13090-2137
Practice Address - Country:US
Practice Address - Phone:315-216-2160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health