Individual
JESSICA L CERUTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
156 MAIN ST, BINGHAMTON, NY 13905-2611
(607) 729-6206
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(077) 530-2346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
092070
NY
104100000X
Social Worker
086114-1
NY
Other
Enumeration date
04/03/2012
Last updated
03/22/2022
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