| Doctor Name: | DR. JAHN L. FORTH-FINEGAN |
| NPI Number: | 1104977586 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD,LMHC,NCC, CASAC |
| License Number: | 000239 |
| Business Practice Address: | 149 N Greece Rd Hilton, NY - 144688902 |
| Business Phone Number: | 5853925777 |
| Business Fax Number: | 5853923692 |
| Mailing Address: | 149 N Greece Rd, HILTON |
| State: | NY |
| Postal Code: | 144688902 |
| Phone Number: | 5853925777 |
| Fax Number: | 5853923692 |
| NPI Enumeration Date: | 01/14/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 000239 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |