National Provider Identifier

Jessica Waskow, LMHC

Jessica Waskow, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Grand Island, NY and a listed phone number of (716) 302-4545.

NPI 1255796033Grand Island, NYMental Health Counselor

Profile Overview

NPI
1255796033
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
December 22, 2015
Last Updated
August 14, 2023

Practice Location

  • 52 Woodstream Dr
  • Grand Island, NY 14072-1485

Phone: (716) 302-4545

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1255796033
Entity Type
Individual
Last Name
Waskow
First Name
Jessica
Credential
LMHC
Mailing Street Address
52 Woodstream Dr
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-1485
Mailing Country
US
Practice Street Address
52 Woodstream Dr
Practice City
Grand Island
Practice State
NY
Practice ZIP Code
14072-1485
Practice Country
US
Practice Phone
(716) 302-4545
Enumeration Date
December 22, 2015
Last Updated
August 14, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)