National Provider Identifier
Jessica Keane
Jessica Keane is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 662-6802.
Profile Overview
- NPI
- 1720542780
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 24, 2019
- Last Updated
- February 21, 2023
Practice Location
- 3345 Southwestern Blvd Ste 100
- Orchard Park, NY 14127-1506
Phone: (716) 662-6802
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1720542780
- Entity Type
- Individual
- Last Name
- Keane
- First Name
- Jessica
- Provider Other Last Name
- Shinners
- Provider Other First Name
- Jessica
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Mailing Fax
- (716) 831-1818
- Practice Street Address
- 3345 Southwestern Blvd Ste 100
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1506
- Practice Country
- US
- Practice Phone
- (716) 662-6802
- Enumeration Date
- January 24, 2019
- Last Updated
- February 21, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 21, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)