JENNIFER LIESEN MHC
NPI 1891150959
Counselor - Mental Health in Watertown, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since December 16, 2015

167 POLK ST, SUITE 300, WATERTOWN, NY 13601(315) 782-7445(315) 779-1184 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jennifer Liesen Mhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER LIESEN MHC (NPI 1891150959) is an individual mental health provider in Watertown, New York and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1891150959

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENNIFER LIESENCredential: MHC

Location Address167 POLK ST, SUITE 300Watertown, NY 13601-2097

Mailing AddressPo Box 6550Watertown, NY 13601-6550 · (315) 782-7445 · Fax (315) 779-1184

Phone(315) 782-7445

Fax(315) 779-1184

Sole ProprietorNo

Enumeration DateDecember 16, 2015

✔ NPI 1891150959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

167 POLK ST, Watertown, NY 13601

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Other Names 1

Former Name (1)Jennifer L Ashton

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY A MESSINA

Licensed Practical Nurse