Individual
JESSIE J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 6TH AVE, TROY, NY 12180-2227
(518) 274-5143
(518) 273-1350
Mailing address
39 KELTON AVE APT 3, SCHENECTADY, NY 12304-2629
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38565-T
NY
Other
Enumeration date
11/08/2023
Last updated
10/09/2025
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