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Organization
KELLY D. MAYER LMHC PLLC
Active
Organization
KELLY D. MAYER LMHC PLLC
Active
Other names
Homer Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY D. MAYER LMHC (OWNER)
(607) 662-4141
Entity
Organization
Contact information
Practice address
6 N WEST ST STE 5, HOMER, NY 13077-1068
(607) 662-4141
(607) 662-4006
Mailing address
6 N WEST ST STE 5, HOMER, NY 13077-1068
(607) 662-4141
(607) 662-4006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008507-1
LICENCE NUMBER
NY
Enumeration date
12/17/2018
Last updated
12/17/2018
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