Individual
JESSIE BEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 US 60, SUMMIT PLAZA BOX 11, ASHLAND, KY 41102
(606) 929-9155
Mailing address
5850 US 60, SUMMIT PLAZA BOX 11, ASHLAND, KY 41102
(606) 929-9155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
06/13/2016
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