| Syracuse Family Counseling Lcsw P.c. | |
|
2507 James St Ste 203 Syracuse NY 13206-2895 | |
| (315) 748-8735 | |
| Not Available |
| Full Name | Syracuse Family Counseling Lcsw P.c. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2507 James St Ste 203, Syracuse, New York |
| Authorized Official Name and Position | Shane Keith Brown (PRESIDENT) |
| Authorized Official Contact | 3154473670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syracuse Family Counseling Lcsw P.c. 2507 James St Ste 203 Syracuse NY 13206-2895 Ph: (315) 748-8735 | Syracuse Family Counseling Lcsw P.c. 2507 James St Ste 203 Syracuse NY 13206-2895 Ph: (315) 748-8735 |
| NPI Number | 1497119192 |
|---|---|
| Provider Enumeration Date | 04/08/2016 |
| Last Update Date | 04/16/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497119192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 080775 (New York) | Primary |
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