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Individual

BECKEY JEAN LUMLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COUNSELOR/ADDICTION

Contact information

Practice address
319 E WATER ST, SYRACUSE, NY 13202-1123
(607) 756-4167
Mailing address
12 GULF HILL RD, CORTLAND, NY 13045-9234
(607) 761-2572

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YA0400X
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271578278
NY
Enumeration date
02/05/2019
Last updated
02/05/2019
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