Individual
JAMIE DEE PAPATHOMOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
314 E EDWARDS ST, ENDICOTT, NY 13760-6007
(607) 644-0874
Mailing address
314 E EDWARDS ST, ENDICOTT, NY 13760-6007
(607) 644-0874
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31408
NY
101YM0800X
Mental Health Counselor
108373
NY
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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