person
Jessica Lyko
Addiction (Substance Use Disorder) Counselor in Port Jervis, New York
NPI 1407256365

Jessica Lyko is an Addiction (Substance Use Disorder) Counselor based in Port Jervis, NY and is specialized in Addiction (Substance Use Disorder). Jessica Lyko practices in Port Jervis, NY. The NPI Number for Jessica Lyko is 1407256365 and holds a License No. 108127-01 (New York).

The current practice location address for Jessica Lyko is 123 Pike St, Port Jervis, NY and can be reached out via phone at 845-856-7576 and via fax at 845-383-8010.

Location: 123 Pike St, Port Jervis, NY, 12771-1824
person
Provider Profile Details
NPI Number
1407256365
Provider Name
Jessica Lyko
Credential
Provider Entity Type
Individual
Gender
Female
Address
123 Pike St, Port Jervis, NY, 12771-1824
Phone Number
845-856-7576
Fax Number
845-383-8010
Provider Enumeration Date
08/28/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007592970029 05 PA
institution
Provider Business Practice Location Address Details
Address
123 Pike St
City
State
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
845-383-8010
person
Provider Business Mailing Address Details
Address
123 Pike St
City
State
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
845-383-8010
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
108127-01 (New York)
Definition
Definition to come...
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