JENNIFER M GOTHAM

CANTON, NY
NPI1174644223
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-04-03
Last Update Date2007-07-08
Business Address
Ms. JENNIFER M GOTHAM
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189
Mailing Address
Ms. JENNIFER M GOTHAM
80 STATE HIGHWAY 310 SUITE 1
CANTON, NY 13617-1493
Phone number: 315-386-2189