Organization
ALKIRA MARRIAGE AND FAMILY THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL WELDUM LMFT, MA (PRESIDENT)
(315) 492-1390
Entity
Organization
Contact information
Practice address
6700 KIRKVILLE ROAD BUILDING B, SUITE 107, EAST SYRACUSE, NY 13057-9373
(315) 492-1390
(315) 314-7726
Mailing address
6700 KIRKVILLE ROAD BUILDING B, SUITE 107, EAST SYRACUSE, NY 13057-9373
(315) 492-1390
(315) 314-7726
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000070
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386857217
NPPES
NY
01
—
1679866982
NPPES
—
01
—
1750582771
NPPES
NY
01
—
177835753
NPPES
NY
Enumeration date
02/25/2015
Last updated
05/23/2023
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