| Life's Canvas | |
|
514 S Main St Canandaigua NY 14424-2246 | |
| (585) 857-6122 | |
| Not Available |
| Full Name | Life's Canvas |
|---|---|
| Speciality | Counselor - Professional |
| Location | 514 S Main St, Canandaigua, New York |
| Authorized Official Name and Position | Raymond Joseph Barrett (OWNER) |
| Authorized Official Contact | 5858576122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life's Canvas 261 S Pearl St Canandaigua NY 14424-1749 Ph: (585) 857-6122 | Life's Canvas 514 S Main St Canandaigua NY 14424-2246 Ph: (585) 857-6122 |
| NPI Number | 1184048662 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184048662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 005308 (New York) | Primary |
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