Individual
JESSICA LYNN WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT- ATR
Contact information
Practice address
210 CHURCH ST, SARATOGA SPRINGS, NY 12866-1010
(518) 580-0520
(518) 580-9975
Mailing address
210 CHURCH ST, SARATOGA SPRINGS, NY 12866-1010
(518) 580-0520
(518) 580-9975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001730-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001730-1
LCAT- ATR
NY
Enumeration date
08/29/2018
Last updated
08/29/2018
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