National Provider Identifier

Amy Jaquith

Amy Jaquith is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1578970562Jamestown, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1578970562
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
July 22, 2014
Last Updated
July 22, 2014

Practice Location

  • 200 E 3Rd St
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 7 N Erie St
  • Mayville, NY 14757-1095

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1578970562
Entity Type
Individual
Last Name
Jaquith
First Name
Amy
Mailing Street Address
7 N Erie St
Mailing City
Mayville
Mailing State
NY
Mailing ZIP Code
14757-1095
Mailing Country
US
Mailing Phone
(716) 753-4104
Mailing Fax
(716) 753-4230
Practice Street Address
200 E 3Rd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Practice Fax
(716) 753-4230
Enumeration Date
July 22, 2014
Last Updated
July 22, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)