Individual
JESSICA WAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 FRANKLIN ST STE 102, SCHENECTADY, NY 12305-2100
(646) 780-9322
Mailing address
600 FRANKLIN ST STE 102, SCHENECTADY, NY 12305-2100
(646) 780-9322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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