Individual
JACQUELINE SOCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
526 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6238
(315) 453-3911
(315) 453-0197
Mailing address
815 SALT SPRINGS RD, SYRACUSE, NY 13224-1621
(518) 399-6860
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36915
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
11/20/2017
Last updated
09/12/2024
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