KIMBERLY JESSUP

BATH, NY
NPI1346330107
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  11252)
Enumeration Date2006-10-13
Last Update Date2007-07-08
Business Address
-- KIMBERLY JESSUP
115 LIBERTY ST
BATH, NY 14810-1508
Phone number: 607-776-6577
Mailing Address
-- KIMBERLY JESSUP
4445 TUCKER RD # A
CAMPBELL, NY 14821-9744
Phone number: