National Provider Identifier
Jessica Goodison
Jessica Goodison is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.
Profile Overview
- NPI
- 1265128961
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- April 14, 2023
- Last Updated
- May 19, 2023
Practice Location
- 556 Clinton Ave S
- Rochester, NY 14620-1105
Phone: (585) 442-8422
Mailing Address
- 79 Glenridge RD
- Glenville, NY 12302-4528
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Counselor (101Y00000X)
Full Record
- NPI
- 1265128961
- Entity Type
- Individual
- Last Name
- Goodison
- First Name
- Jessica
- Mailing Street Address
- 79 Glenridge RD
- Mailing City
- Glenville
- Mailing State
- NY
- Mailing ZIP Code
- 12302-4528
- Mailing Country
- US
- Practice Street Address
- 556 Clinton Ave S
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-1105
- Practice Country
- US
- Practice Phone
- (585) 442-8422
- Practice Fax
- (585) 442-8494
- Enumeration Date
- April 14, 2023
- Last Updated
- May 19, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 19, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X), Counselor (101Y00000X)