Organization
JACOB STUDIOSO, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB STUDIOSO LCSW (OWNER)
(585) 628-4200
Entity
Organization
Contact information
Practice address
84 AVON GENESEO RD, SUITE B, GENESEO, NY 14454
(585) 628-4200
Mailing address
PO BOX 706, GENESEO, NY 14454-0706
(585) 628-4200
(585) 628-4280
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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