National Provider Identifier
Jessica Taylor, STUDENT CRC
Jessica Taylor, STUDENT CRC is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 833-3622.
Profile Overview
- NPI
- 1184706947
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 20, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3297 Bailey Ave
- Buffalo, NY 14215-1139
Phone: (716) 833-3622
Mailing Address
- 314 Witmer RD
- North Tonawanda, NY 14120-1643
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1184706947
- Entity Type
- Individual
- Last Name
- Taylor
- First Name
- Jessica
- Name Prefix
- Mrs.
- Credential
- STUDENT CRC
- Mailing Street Address
- 314 Witmer RD
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-1643
- Mailing Country
- US
- Mailing Phone
- (716) 692-6389
- Practice Street Address
- 3297 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1139
- Practice Country
- US
- Practice Phone
- (716) 833-3622
- Enumeration Date
- October 20, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)