Provider Demographics
NPI:1790419703
Name:GIFFARD, JENNA (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:JENNA
Middle Name:
Last Name:GIFFARD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 W 14TH ST FL 4
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-7300
Mailing Address - Country:US
Mailing Address - Phone:203-461-4653
Mailing Address - Fax:
Practice Address - Street 1:154 W 14TH ST FL 4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-7300
Practice Address - Country:US
Practice Address - Phone:203-461-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health