Individual
JESSICA BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 35, MOYOCK, NC 27958-0035
(845) 717-0166
Mailing address
PO BOX 35, MOYOCK, NC 27958-0035
(845) 717-0166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012995
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/31/2020
Last updated
11/17/2025
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