Individual
JESSICA PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 22175
Contact information
Practice address
55 ELM ST, GLENS FALLS, NY 12801-3670
(518) 793-7273
Mailing address
17A KING ST, WARRENSBURG, NY 12885-1420
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22175
NY
Other
Enumeration date
02/13/2014
Last updated
05/16/2022
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