MISS Jessica Brynn Suphan

NPI #1093387797 in Malone, New York

Provider Information

NPI Number
1093387797
Entity Type
Individual
Name
MISS Jessica Brynn Suphan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Jul 13, 2021
Last Updated
Nov 15, 2024

Practice Location

Address
31 6TH ST
City
Malone
ZIP Code
12953-1246
Phone
(518) 483-3261

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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