National Provider Identifier
Kimberly Jessup
Kimberly Jessup is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Bath, NY and a listed phone number of (607) 776-6577.
Profile Overview
- NPI
- 1346330107
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 13, 2006
- Last Updated
- July 08, 2007
Practice Location
- 115 Liberty St
- Bath, NY 14810-1508
Phone: (607) 776-6577
Mailing Address
- 4445 Tucker RD # A
- Campbell, NY 14821-9744
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1346330107
- Entity Type
- Individual
- Last Name
- Jessup
- First Name
- Kimberly
- Mailing Street Address
- 4445 Tucker RD # A
- Mailing City
- Campbell
- Mailing State
- NY
- Mailing ZIP Code
- 14821-9744
- Mailing Country
- US
- Practice Street Address
- 115 Liberty St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1508
- Practice Country
- US
- Practice Phone
- (607) 776-6577
- Enumeration Date
- October 13, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)