Individual
JESSICA L YOUNG SORBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7 GIFFORD LN, MEDUSA, NY 12120-1823
(518) 452-6709
(518) 452-6756
Mailing address
2201 NY 2, CROPSEYVILLE, NY 12052
(518) 452-6737
(518) 452-6756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/01/2010
Last updated
03/11/2011
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