Organization
BRIGHTSIDE LCSW SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHARMAINE FANARA LCSW (COUNSELOR)
(716) 783-0407
Entity
Organization
Contact information
Practice address
3715 UNION RD, SWEET 122, CHEEKTOWAGA, NY 14225
(716) 783-0407
Mailing address
3715 UNION RD, CHEEKTOWAGA, NY 14225
(716) 783-0407
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004189
NY
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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