Tietge, Jessica Marie

Tietge, Jessica Marie is an individual health care provider with primary practice located at 70 Edgewood Road , Saranac Lake NY 12983. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Tietge, Jessica Marie can be contacted via phone (518) 891-2467.

Contact Information

Primary practice address
70 Edgewood Road Saranac Lake NY 12983
Phone: (518) 891-2467
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1932342151
LBN Legal business name Tietge, Jessica Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2009
Last updated Apr 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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