Organization
JESSIE KIVLEHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSIE HASTINGS KIVLEHAN MS (COUNSELOR)
(845) 558-6019
Entity
Organization
Contact information
Practice address
4 PRINCETON DR, TAPPAN, NY 10983
(845) 558-6019
Mailing address
4 PRINCETON DR, TAPPAN, NY 10983
(845) 558-6019
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NY
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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