Organization
BROCKPORT MARRIAGE & FAMILY THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER H. KING LMFT (OWNER)
(585) 395-0091
Entity
Organization
Contact information
Practice address
2 MAIN ST, BROCKPORT, NY 14420-1937
(585) 395-0091
(585) 395-0092
Mailing address
2 MAIN ST, BROCKPORT, NY 14420-1937
(585) 395-0091
(585) 395-0092
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0007911
NY
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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