Individual
JACQUELINE FENIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1850 BRIGHTON HENRIETTA TOWN LINE ROAD, ROCHESTER, NY 14623
(585) 287-5622
Mailing address
2988 ROUTE 96 SOUTH, WATERLOO, NY 13165
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
116021-01
NY
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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