Provider Demographics
NPI:1457148116
Name:JESSICA GIFFORD MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:JESSICA GIFFORD MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER-MANAGER-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:585-259-3892
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:CANANDAIGUA
Mailing Address - State:NY
Mailing Address - Zip Code:14424-0384
Mailing Address - Country:US
Mailing Address - Phone:315-888-1070
Mailing Address - Fax:
Practice Address - Street 1:6802 ROSS RD
Practice Address - Street 2:
Practice Address - City:SPRINGWATER
Practice Address - State:NY
Practice Address - Zip Code:14560-9648
Practice Address - Country:US
Practice Address - Phone:585-201-8879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-24
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health