Individual
JESSICA KISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD STE 4, LIVERPOOL, NY 13088-6249
(315) 453-3911
Mailing address
526 OLD LIVERPOOL RD STE 4, LIVERPOOL, NY 13088-6249
(315) 453-3911
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
03/02/2026
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