Individual
JESSICA LYN CICOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 W ANTRIM DR, GREENVILLE, SC 29607-2329
(864) 351-2481
Mailing address
221 FAIRFOREST WAY APT 17101, GREENVILLE, SC 29607-4677
(740) 359-4435
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9088
SC
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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