| Jws Licensed Marriage And Family Therapist, Pc | |
|
3070 Belgium Rd Baldwinsville NY 13027-9546 | |
| (315) 857-3035 | |
| (315) 720-1171 |
| Full Name | Jws Licensed Marriage And Family Therapist, Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 3070 Belgium Rd, Baldwinsville, New York |
| Authorized Official Name and Position | Jennifer Lynn Wainman-sauda (OWNER) |
| Authorized Official Contact | 3158573035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jws Licensed Marriage And Family Therapist, Pc 70 W Genesee St Baldwinsville NY 13027-1145 Ph: (315) 857-3035 | Jws Licensed Marriage And Family Therapist, Pc 3070 Belgium Rd Baldwinsville NY 13027-9546 Ph: (315) 857-3035 |
| NPI Number | 1255895892 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 03/13/2020 |
| Certification Date | 03/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255895892 | NPI | - | NPPES |
| 1659458563 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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