Individual
JESSICA MARIE MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 N CLINTON AVE, ROCHESTER, NY 14604-1407
(585) 546-7220
Mailing address
32 N MAIN ST APT 1, HONEOYE FALLS, NY 14472-1061
(607) 259-8761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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