Individual provider · Type 1 NPI
Jessica L. Young Sorbello, LMSW
Addiction (Substance Use Disorder) Counselor · Medusa, NY
NPI number
1861703175
Active
Practice location
7 Gifford Ln
Medusa, NY 12120-1823
Fax (518) 452-6756
Mailing address
2201 Ny 2
Cropseyville, NY 12052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Medusa
About NPI 1861703175
Jessica L. Young Sorbello, LMSW's National Provider Identifier is 1861703175, issued on Jul 1, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Medusa, NY. The record was last updated on Mar 11, 2011.