Individual
RASHMI GANGAMMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LMFT
Contact information
Practice address
2509 JAMES ST, SYRACUSE, NY 13206-6000
(614) 325-4029
Mailing address
PO BOX 635, SYRACUSE, NY 13206-0635
(614) 325-4029
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001399
NY
Other
Enumeration date
08/07/2020
Last updated
10/05/2020
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