Individual provider · Type 1 NPI

Jessica Rose Burgess-Wise, LADC

Addiction (Substance Use Disorder) Counselor · Palmer, MA

NPI number 1376577528 Active

About NPI 1376577528

Jessica Rose Burgess-Wise, LADC's National Provider Identifier is 1376577528, issued on Jul 11, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palmer, MA. The record was last updated on Jul 8, 2007.