Individual
LAUREN JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 467-2230
Mailing address
835 W MAIN ST, ROCHESTER, NY 14611-2335
(585) 467-2230
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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