Individual provider · Type 1 NPI

Kimberly Jessup

Addiction (Substance Use Disorder) Counselor · Bath, NY

NPI number 1346330107 Active

Practice location

115 Liberty St
Bath, NY 14810-1508

Call (607) 776-6577 Map

Mailing address

4445 Tucker Rd # A
Campbell, NY 14821-9744

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11252 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1346330107

Kimberly Jessup's National Provider Identifier is 1346330107, issued on Oct 13, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bath, NY. The record was last updated on Jul 8, 2007.