Provider Demographics
NPI:1508237017
Name:FINO, JEANNIE M (LMFT)
Entity Type:Individual
Prefix:
First Name:JEANNIE
Middle Name:M
Last Name:FINO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 ADELA CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2505
Mailing Address - Country:US
Mailing Address - Phone:914-357-5921
Mailing Address - Fax:
Practice Address - Street 1:2127 CROMPOND RD STE 202B
Practice Address - Street 2:
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4334
Practice Address - Country:US
Practice Address - Phone:914-357-5921
Practice Address - Fax:914-302-3088
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2019-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001377-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist