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Organization
COLLEEN VERNOLD, LCSW-R COUNSELING SERVICES
Active
Organization
COLLEEN VERNOLD, LCSW-R COUNSELING SERVICES
Active
Other names
Colleen Vernold, LCSW-R Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN VERNOLD LCSW-R (OWNER)
(315) 741-5586
Entity
Organization
Contact information
Practice address
6676 POTTER RD, ROME, NY 13440-2016
(315) 741-5586
Mailing address
6676 POTTER RD, ROME, NY 13440-2016
(315) 741-5586
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
J300287089
—
NY
Enumeration date
02/01/2022
Last updated
02/01/2022
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