| Colleen Vernold, Lcsw-r Counseling Services | |
|
6676 Potter Rd Rome NY 13440-2016 | |
| (315) 741-5586 | |
| Not Available |
| Full Name | Colleen Vernold, Lcsw-r Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6676 Potter Rd, Rome, New York |
| Authorized Official Name and Position | Colleen Vernold (OWNER) |
| Authorized Official Contact | 3157415586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Vernold, Lcsw-r Counseling Services 6676 Potter Rd Rome NY 13440-2016 Ph: (315) 741-5586 | Colleen Vernold, Lcsw-r Counseling Services 6676 Potter Rd Rome NY 13440-2016 Ph: (315) 741-5586 |
| NPI Number | 1487307211 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Certification Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487307211 | NPI | - | NPPES |
| J300287089 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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