Individual
CANDY HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
375 W. ONONDAGA ST. SUITE 10, SYRACUSE, NY 13202
(315) 478-2030
Mailing address
518 JAMES ST. SUITE 240, SYRACUSE, NY 13203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161364106
—
NY
Enumeration date
10/14/2016
Last updated
10/14/2016
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