Individual provider · Type 1 NPI

Jessica Lyko

Addiction (Substance Use Disorder) Counselor · Port Jervis, NY

NPI number 1407256365 Active

Practice location

123 Pike St
Port Jervis, NY 12771-1824

Fax (845) 383-8010

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X108127-01 (NY)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1407256365

Jessica Lyko's National Provider Identifier is 1407256365, issued on Aug 28, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Jervis, NY. The record was last updated on Jun 20, 2022.