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General NPI Number Information
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NPI Number | 1457148116
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Entity Type | Organization
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Legal Business Name | JESSICA GIFFORD MENTAL HEALTH COUNSELING, PLLC
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Dates
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Enumeration Date | 04/24/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 6802 ROSS RD
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City | SPRINGWATER
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State | NY
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Zip | 14560-9648
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Country | US
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Telephone | 585-201-8879
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | CANANDAIGUA
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State | NY
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Zip | 14424-0384
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Country | US
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Telephone | 315-888-1070
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER-OWNER
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Name | JESSICA MARIE GIFFORD
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Credential | LMHC
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Telephone | 585-259-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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