| Koon Counseling Services Lmsw, P.c. | |
|
317 W 1st St Ste 112 Oswego NY 13126-3678 | |
| (315) 021-6068 | |
| Not Available |
| Full Name | Koon Counseling Services Lmsw, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 317 W 1st St Ste 112, Oswego, New York |
| Authorized Official Name and Position | Jennifer Koon (OWNER) |
| Authorized Official Contact | 3154304070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Koon Counseling Services Lmsw, P.c. 208 Easterly Ter De Witt NY 13214-2316 Ph: () - | Koon Counseling Services Lmsw, P.c. 317 W 1st St Ste 112 Oswego NY 13126-3678 Ph: (315) 021-6068 |
| NPI Number | 1336676469 |
|---|---|
| Provider Enumeration Date | 05/19/2017 |
| Last Update Date | 05/19/2017 |
| Medicare PECOS PAC ID | 3173944014 |
|---|---|
| Medicare Enrollment ID | O20200602001950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336676469 | NPI | - | NPPES |
| 0000000 | Other | 0000000 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Koon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770859902 PECOS PAC ID: 8426479262 Enrollment ID: I20200602002219 |
David A Vecchio, Lmsw Counseling Services Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 339 Maple St Apt 3, Oswego, NY 13126 Phone: 315-382-6532 | |
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New Spirit Licensed Clinical Social Work, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 142 W 2nd St, Unit # 1a, Oswego, NY 13126 Phone: 315-216-4776 Fax: 315-216-4783 | |
Daskalakis Psychological Services, Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W 1st St, Suite 112, Oswego, NY 13126 Phone: 315-944-8043 | |
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