Individual
MRS. KIMBERLY BERGSTRESSER DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2106 W MAIN ST, STANLEY, NY 14561-9424
(585) 469-8491
Mailing address
2106 W MAIN ST, STANLEY, NY 14561-9424
(585) 469-8491
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
008987-01
NY
Other
Enumeration date
07/28/2015
Last updated
06/30/2021
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