Individual
JESSICA RAE TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
70 MAIN ST, GREENWICH, NY 12834-1211
(518) 636-0483
Mailing address
359 BALLSTON AVE, SARATOGA SPRINGS, NY 12866-4723
(518) 587-8008
(518) 587-8241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006700
NYS LIC
NY
Enumeration date
04/01/2009
Last updated
03/17/2018
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