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Jessica Rae Shepard
Mental Health Counselor in Bath, New York
NPI 1760130777

Jessica Rae Shepard is a Mental Health Counselor based in Bath, NY and is specialized in Mental Health. Jessica Rae Shepard practices in Bath, NY. The NPI Number for Jessica Rae Shepard is 1760130777 and holds a License No. P114126 (New York).

The current practice location address for Jessica Rae Shepard is 115 Liberty St, Bath, NY and can be reached out via phone at 607-324-2483.

Location: 115 Liberty St, Bath, NY, 14810-1508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760130777
Provider Name
Jessica Rae Shepard
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 Liberty St, Bath, NY, 14810-1508
Phone Number
607-324-2483
Fax Number
Provider Enumeration Date
03/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Liberty St
City
Bath
State
New York
Zip
14810-1508
Phone Number
607-324-2483
Fax Number
person
Provider Business Mailing Address Details
Address
115 Liberty St
City
Bath
State
New York
Zip
14810-1508
Phone Number
607-324-2483
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
P114126 (New York)
Definition
Definition to come...
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