JESSICA PENTECOST

BELLPORT, NY
NPI1164676805
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  18179)
Enumeration Date2008-11-07
Last Update Date2008-11-07
Business Address
-- JESSICA PENTECOST
11 FARBER DR
BELLPORT, NY 11713-1500
Phone number: 631-286-0700
Mailing Address
-- JESSICA PENTECOST
11 FARBER DR
BELLPORT, NY 11713-1500
Phone number:
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