Individual
JENNIFER MACKOWIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E 3RD ST, 5TH FLOOR MUNICIPAL BUILDING, JAMESTOWN, NY 14701-5433
(716) 661-8330
(716) 753-4230
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1090
(716) 753-4104
(716) 753-4230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P75686
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2008
Last updated
08/18/2011
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