National Provider Identifier
Jessica Desirae Gallicchio
Jessica Desirae Gallicchio is listed in the NPPES registry with a primary specialty of Counselor in Mount Morris, NY and a listed phone number of (585) 658-5507.
Profile Overview
- NPI
- 1588209613
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- November 13, 2019
- Last Updated
- November 13, 2019
Practice Location
- 24 Main St
- Mount Morris, NY 14510-1006
Phone: (585) 658-5507
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1588209613
- Entity Type
- Individual
- Last Name
- Gallicchio
- First Name
- Jessica
- Middle Name
- Desirae
- Mailing Street Address
- 24 Main St
- Mailing City
- Mount Morris
- Mailing State
- NY
- Mailing ZIP Code
- 14510-1006
- Mailing Country
- US
- Practice Street Address
- 24 Main St
- Practice City
- Mount Morris
- Practice State
- NY
- Practice ZIP Code
- 14510-1006
- Practice Country
- US
- Practice Phone
- (585) 658-5507
- Enumeration Date
- November 13, 2019
- Last Updated
- November 13, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)