Organization
BREAKWATERS MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA ELIZABETH CONNORS LMHC (OWNER)
(315) 440-6906
Entity
Organization
Contact information
Practice address
3043 STATE ROUTE 13, PULASKI, NY 13142-2429
(315) 440-6906
Mailing address
3043 STATE ROUTE 13, PULASKI, NY 13142-2429
(315) 440-6906
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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