# AISLING MARRIAGE AND FAMILY THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659028918
- **Authorized official:** QUINCY STOCKTON (OFFICE MANAGER)
- **Authorized official phone:** (315) 559-7961

## Contact information

- **Practice address:** 428N S. MAIN ST, SUITE 206, SYRACUSE, NY 13212
- **Practice address phone:** (315) 466-6176
- **Mailing address:** 428N S. MAIN ST, SUITE 206, SYRACUSE, NY 13212
- **Mailing address phone:** (315) 466-6176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2022
- **Last updated:** 03/07/2022