| Copeland Counseling For Youth | |
|
24 Copeland Ave Homer NY 13077-1529 | |
| (315) 243-1578 | |
| Not Available |
| Full Name | Copeland Counseling For Youth |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24 Copeland Ave, Homer, New York |
| Authorized Official Name and Position | Susan Stafford Thomas (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 3152431578 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Copeland Counseling For Youth 24 Copeland Ave Homer NY 13077-1529 Ph: (315) 243-1578 | Copeland Counseling For Youth 24 Copeland Ave Homer NY 13077-1529 Ph: (315) 243-1578 |
| NPI Number | 1558444927 |
|---|---|
| Provider Enumeration Date | 10/22/2006 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558444927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | R066704-1 (New York) | Primary |
Copeland Ave Counseling Lcsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Copeland Ave, Homer, NY 13077 Phone: 607-749-5711 | |
Kelly D. Mayer Lmhc Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 N West St Ste 5, Homer, NY 13077 Phone: 607-662-4141 Fax: 607-662-4006 |