Individual
MS. JENNA L COLTON DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 FORD ST., OGDENSBURG, NY 13669
(315) 393-1164
(315) 393-6461
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617
(315) 386-2189
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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