Individual
COURTNEY DANIELLE LAVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1045 JAMES ST STE 100, SYRACUSE, NY 13203-2758
(315) 472-4471
Mailing address
527 PUMPHOUSE RD, MEXICO, NY 13114-3431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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