Individual
JENNA LEIGH EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4 SOUTH ST, GENESEO, NY 14454-1310
(585) 770-7190
Mailing address
4 SOUTH ST, GENESEO, NY 14454-1310
(585) 770-7190
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
023767
NY
Other
Enumeration date
08/06/2012
Last updated
09/09/2023
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