MEDICARE: JENNY LYNN LOVE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NONE	OTHER		NONE

General Provider Information

NPI Number	:	1295455624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY LYNN LOVE

Provider Business Mailing Address
First Line	:	2 PINE WEST PLZ STE 205
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12205-5532
Country	:	US
Telephone Number	:	518-265-9034
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 PINE WEST PLZ STE 205
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12205-5532
Country	:	US
Telephone Number	:	518-265-9034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2022
Last Update Date	:	03/08/2026

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Directions to “ JENNY LYNN LOVE ” Practice Location

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