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Organization
NORTHCOUNTRY CLINICAL COUNSELING, LCSW, PLLC
Active
Organization
NORTHCOUNTRY CLINICAL COUNSELING, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE KILLION LCSW (OWNER/THERAPIST)
(315) 439-9930
Entity
Organization
Contact information
Practice address
5900 N BURDICK ST STE 209, EAST SYRACUSE, NY 13057-9463
(315) 439-9930
Mailing address
111 KESSLER LN, FAYETTEVILLE, NY 13066-1526
(315) 439-9930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/30/2023
Last updated
06/07/2023
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