Blue Beacon Mental Health Counseling, Pllc | |
4 Clymer St Auburn NY 13021-4710 | |
(315) 730-7271 | |
(315) 975-6604 |
Full Name | Blue Beacon Mental Health Counseling, Pllc |
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Speciality | Counselor - Mental Health |
Location | 4 Clymer St, Auburn, New York |
Authorized Official Name and Position | Penelope E Lupo (SOLE MEMBER MANAGER) |
Authorized Official Contact | 3157307271 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Beacon Mental Health Counseling, Pllc 4 Clymer St Auburn NY 13021-4710 Ph: (315) 730-7271 | Blue Beacon Mental Health Counseling, Pllc 4 Clymer St Auburn NY 13021-4710 Ph: (315) 730-7271 |
NPI Number | 1801634720 |
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Provider Enumeration Date | 07/16/2024 |
Last Update Date | 07/16/2024 |
Certification Date | 07/16/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801634720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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