Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jillian Louise Forman

Individual provider Professional Counselor · NPI 1073169587

Jillian Louise Forman is a Professional Counselor in Andover, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
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Practice location Address checks out

2 S Main St Ste 3
Andover, NY 14806
Phone: (607) 281-8815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 009608-01 (NY)

Record details

NPI number1073169587
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 12, 2019
Last updated in NPPESAugust 12, 2019