Individual
MRS. LISA M SEARFOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
115 LIBERTY ST, BATH, NY 14830
(607) 664-2255
Mailing address
35 W SPRUCE ST, CORNING, NY 14830-1669
(607) 664-2255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16-6002567
SCCMHC/SCASAS
NY
05
—
16-6002567
—
NY
Enumeration date
08/24/2017
Last updated
06/16/2018
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