| Clinical Counseling Associates | |
|
753 James St Suite 4 Syracuse NY 13203-2108 | |
| (315) 422-0671 | |
| Not Available |
| Full Name | Clinical Counseling Associates |
|---|---|
| Speciality | Counselor |
| Location | 753 James St, Syracuse, New York |
| Authorized Official Name and Position | Judi F. Rozsa (DIRECTOR) |
| Authorized Official Contact | 3154220671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Counseling Associates 753 James St Suite 4 Syracuse NY 13203-2108 Ph: (315) 422-0671 | Clinical Counseling Associates 753 James St Suite 4 Syracuse NY 13203-2108 Ph: (315) 422-0671 |
| NPI Number | 1386979987 |
|---|---|
| Provider Enumeration Date | 10/15/2009 |
| Last Update Date | 10/15/2009 |
| Medicare PECOS PAC ID | 6204877996 |
|---|---|
| Medicare Enrollment ID | O20050512000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386979987 | NPI | - | NPPES |
| 01706147 | Medicaid | NY |
| Provider Name | Judi F Rozsa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265500995 PECOS PAC ID: 3476594169 Enrollment ID: I20100323000226 |
| Provider Name | Suzanne J Delong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992877641 PECOS PAC ID: 7315078797 Enrollment ID: I20100629000350 |
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