| New Growth Counseling Lcsw, P.c. | |
|
400 W 5th St Jamestown NY 14701-4828 | |
| (716) 203-1020 | |
| (716) 229-5790 |
| Full Name | New Growth Counseling Lcsw, P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 400 W 5th St, Jamestown, New York |
| Authorized Official Name and Position | Jason Tonon (SHAREHOLDER/OWNER) |
| Authorized Official Contact | 7163974240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Growth Counseling Lcsw, P.c. 150 Hazeltine Ave Jamestown NY 14701-7869 Ph: (716) 397-4240 | New Growth Counseling Lcsw, P.c. 400 W 5th St Jamestown NY 14701-4828 Ph: (716) 203-1020 |
| NPI Number | 1508611336 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508611336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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