Individual
MARIAH VINCINE FESINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
(315) 883-1607
Mailing address
4567 CROSSROADS PARK DR, LIVERPOOL, NY 13088-3589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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