| Northcountry Clinical Counseling, Lcsw, Pllc | |
|
5900 N Burdick St Ste 209 East Syracuse NY 13057-9463 | |
| (315) 439-9930 | |
| Not Available |
| Full Name | Northcountry Clinical Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5900 N Burdick St Ste 209, East Syracuse, New York |
| Authorized Official Name and Position | Stephanie Killion (OWNER/THERAPIST) |
| Authorized Official Contact | 3154399930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcountry Clinical Counseling, Lcsw, Pllc 111 Kessler Ln Fayetteville NY 13066-1526 Ph: (315) 439-9930 | Northcountry Clinical Counseling, Lcsw, Pllc 5900 N Burdick St Ste 209 East Syracuse NY 13057-9463 Ph: (315) 439-9930 |
| NPI Number | 1780377556 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780377556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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