| Model Of Resilience Psychotherapy Lcsw Pllc | |
|
2024 W Henrietta Rd Ste 2a Rochester NY 14623-1357 | |
| (585) 734-9381 | |
| Not Available |
| Full Name | Model Of Resilience Psychotherapy Lcsw Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2024 W Henrietta Rd Ste 2a, Rochester, New York |
| Authorized Official Name and Position | Ebonesha Graham (OWNER) |
| Authorized Official Contact | 5857940641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Model Of Resilience Psychotherapy Lcsw Pllc 53 Falleson Rd Rochester NY 14612-5751 Ph: (585) 794-0641 | Model Of Resilience Psychotherapy Lcsw Pllc 2024 W Henrietta Rd Ste 2a Rochester NY 14623-1357 Ph: (585) 734-9381 |
| NPI Number | 1073374781 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073374781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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