Individual
JESSICA LYNN DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 FINNEY BLVD, MALONE, NY 12953-1067
(518) 481-8160
Mailing address
125 FINNEY BLVD, MALONE, NY 12953-1067
(518) 481-8160
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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