Individual provider · Type 1 NPI

Jessica Goodison

Addiction (Substance Use Disorder) Counselor · Rochester, NY

NPI number 1265128961 Active

Practice location

556 Clinton Ave S
Rochester, NY 14620-1105

Call (585) 442-8422 Map

Fax (585) 442-8494

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4528

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X38677-T (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265128961

Jessica Goodison's National Provider Identifier is 1265128961, issued on Apr 14, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, NY. The record was last updated on May 19, 2023.