Jessica Desirae Gallicchio

NPI #1588209613 in Mount Morris, New York

Provider Information

NPI Number: 1588209613
Entity Type: Individual
Name: Jessica Desirae Gallicchio
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 24 MAIN ST
City: Mount Morris
State: New York
ZIP Code: 14510-1006
Phone: (585) 658-5507

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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