Individual
ALYSSA KNICKERBOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
518 JAMES ST, SYRACUSE, NY 13203-2238
(315) 474-5506
(315) 474-5506
Mailing address
518 JAMES ST, SYRACUSE, NY 13203-2238
(315) 474-5506
(315) 474-5506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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