MEDICARE: JAMES L. FORRO LMHC, LPC, NCC

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	3690	NY

General Provider Information

NPI Number	:	1679934186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES L. FORRO LMHC, LPC, NCC

Provider Business Mailing Address
First Line	:	677 W END AVE
Second Line	:	APT. 2A
City	:	NEW YORK
State	:	NY
Zip	:	10025-7321
Country	:	US
Telephone Number	:	480-662-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 W END AVE
Second Line	:	APT. 2A
City	:	NEW YORK
State	:	NY
Zip	:	10025-7321
Country	:	US
Telephone Number	:	480-662-8909
Fax Number	:

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

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	03/10/2016

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