Individual
ALYSSA JOYE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 PARK ST, OGDENSBURG, NY 13669-3911
(518) 483-1251
Mailing address
24 HAILESBORO STREET, GOUVERNEUR, NY 13642
(315) 748-2457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/12/2022
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