Individual
COLLEEN ANNE VERNOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-R
Contact information
Practice address
7900 BEECHES TURIN ROAD, BLDG. 3, STE. 4,, BEECHES PROFESSIONAL CAMPUS, ROME, NY 13440
(315) 334-4555
(315) 334-4554
Mailing address
7900 TURIN ROAD , BLDG. 3, STE. 4, BEECHES PROFESSIONAL CAMPUS, ROME, NY 13440
(315) 334-4555
(315) 334-4554
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R052546
NY
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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