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Organization

CAFTACS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTI FAUSOLD-MOWERS ED.D.,LCSW, LMFT (DIRECTOR)
(585) 330-0472
Entity
Organization

Contact information

Practice address
15 FISHERS RD STE 214, PITTSFORD, NY 14534-9510
(585) 330-0472
Mailing address
15 FISHERS RD STE 214, PITTSFORD, NY 14534-9510
(585) 330-0472

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
01/23/2026
Last updated
01/23/2026
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