National Provider Identifier

Jarrett Lamar Hannah

Jarrett Lamar Hannah is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 491-6646.

NPI 1619658655Rochester, NYMental Health Counselor

Profile Overview

NPI
1619658655
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 31, 2023
Last Updated
July 31, 2023

Practice Location

  • 1400 Portland Ave Ste 54
  • Rochester, NY 14621-3014

Phone: (585) 491-6646

Mailing Address

  • PO Box 90431
  • Rochester, NY 14609-0431

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1619658655
Entity Type
Individual
Last Name
Hannah
First Name
Jarrett
Middle Name
Lamar
Mailing Street Address
PO Box 90431
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14609-0431
Mailing Country
US
Practice Street Address
1400 Portland Ave Ste 54
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3014
Practice Country
US
Practice Phone
(585) 491-6646
Enumeration Date
July 31, 2023
Last Updated
July 31, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 31, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)