Jessica Charbonneau's National Provider Identifier (NPI) Details
Jessica Charbonneau, LCSW
NPI: 1134231160
Enumeration Date: 2006-08-31
Last updated: 2011-05-20
Sole Proprietor: YES
Status: active
Postal Address: 144 GENESEE ST, METCALF PLAZA, SUITE 404, AUBURN, NY
Phone: 315-258-9455
Primary Practice Address: 144 GENESEE ST, METCALF PLAZA, SUITE 404, AUBURN, NY
Practice's phone: 315-258-9455