National Provider Identifier

Jessica Leigh Badilla

Jessica Leigh Badilla is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Elmira, NY and a listed phone number of (607) 737-5696.

NPI 1316504889Elmira, NYMental Health Counselor

Profile Overview

NPI
1316504889
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
May 21, 2019
Last Updated
November 15, 2021

Practice Location

  • 1013 Water St
  • Elmira, NY 14901

Phone: (607) 737-5696

Mailing Address

  • 2604 Elmwood Ave
  • Rochester, NY 14618-2213

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1316504889
Entity Type
Individual
Last Name
Badilla
First Name
Jessica
Middle Name
Leigh
Provider Other Last Name
Sawinski
Provider Other First Name
Jessica
Provider Other Middle Name
Leigh
Provider Other Last Name Type Code
1
Mailing Street Address
2604 Elmwood Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-2213
Mailing Country
US
Mailing Phone
(585) 507-4916
Practice Street Address
1013 Water St
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 737-5696
Enumeration Date
May 21, 2019
Last Updated
November 15, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
November 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)