| Doctor Name: | MRS. JESSICA FURINO |
| NPI Number: | 1578910303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | REVEREND |
| License Number: | 14660 |
| Business Practice Address: | 141 South Avenue, Suite 103 Fanwood, NJ - 07023 |
| Business Phone Number: | 9089175593 |
| Business Fax Number: | 9088896401 |
| Mailing Address: | 141 South Ave Ste 103, FANWOOD |
| State: | NJ |
| Postal Code: | 070231225 |
| Phone Number: | 9089175593 |
| Fax Number: | 9088896401 |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP1600X |
| License Number: | 14660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Pastoral |
| Taxonomy Definition: | |