National Provider Identifier

Jessica Lenore Ackley

Jessica Lenore Ackley is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Kenmore, NY and a listed phone number of (716) 217-0010.

NPI 1386331817Kenmore, NYMental Health Counselor

Profile Overview

NPI
1386331817
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
April 24, 2023
Last Updated
January 15, 2024

Practice Location

  • 1129 Kenmore Ave
  • Kenmore, NY 14217-2845

Phone: (716) 217-0010

Specialties

  • Mental Health Counselor (101YM0800X)
  • Counselor (101Y00000X)
Full Record
NPI
1386331817
Entity Type
Individual
Last Name
Ackley
First Name
Jessica
Middle Name
Lenore
Mailing Street Address
1129 Kenmore Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-2845
Mailing Country
US
Mailing Phone
(716) 217-0010
Practice Street Address
1129 Kenmore Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2845
Practice Country
US
Practice Phone
(716) 217-0010
Enumeration Date
April 24, 2023
Last Updated
January 15, 2024
Sex
Female
Sole Proprietor
No
Certification Date
January 15, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X), Counselor (101Y00000X)