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Individual

JENNA JAMAL FAKHOURY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, MA, NCC

Contact information

Practice address
77 ORDELIA LN, ROUND LAKE, NY 12151-1730
(720) 588-2168
Mailing address
77 ORDELIA LN, ROUND LAKE, NY 12151-1730
(352) 427-2030

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
015255
NY
101YM0800X
Mental Health Counselor
39005678A
IN
101YM0800X
Mental Health Counselor
LMHC10004095
MA
101YM0800X
Mental Health Counselor
MH25302
FL
101YM0800X
Mental Health Counselor
PRC200002440
DC
101YP2500X
Professional Counselor
37PC01012400
NJ
101YP2500X
Professional Counselor
Primary
6490-125
WI

Other

Enumeration date
09/12/2017
Last updated
01/22/2026
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