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Jilleen Elizabeth Gorham, MS, LMHC

Counselor, Mental Health in Baldwinsville, NY. Individual provider (NPI-1).

NPI number1164076097
StatusActive
Last updated in NPPESSep 29, 2026

Details

NPI
1164076097
Entity type
Individual (NPI-1)
Name
Mrs. Jilleen Elizabeth Gorham
Credential
MS, LMHC
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 29, 2019
Certification date
Mar 3, 2023
Last updated
Sep 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health009390NYYes

Practice location

721 Idlewood Blvd
Baldwinsville, NY 13027-3010

Phone 315-559-4303

Mailing address

721 Idlewood Blvd
Baldwinsville, NY 13027-3010

Phone 315-559-4303

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Other Mental Health Counselor providers in Baldwinsville, NY

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