| Sparc | |
|
3 Mercycare Ln Guilderland NY 12084-3504 | |
| (518) 452-6705 | |
| Not Available |
| Full Name | Sparc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3 Mercycare Ln, Guilderland, New York |
| Authorized Official Name and Position | Crystal Hewitt-gill (EDUCATION SPECIALIST) |
| Authorized Official Contact | 5184526705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparc 3 Mercycare Ln Guilderland NY 12084-3504 Ph: () - | Sparc 3 Mercycare Ln Guilderland NY 12084-3504 Ph: (518) 452-6705 |
| NPI Number | 1427452630 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427452630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 27849 (New York) | Primary |
Karner Psychological Associates,pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2280 Western Ave, Guilderland, NY 12084 Phone: 518-456-5056 Fax: 518-456-6512 |