Organization
BEDROCK COUNSELING MINISTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN D. DURST L.M.H.C., N.C.C. (PRESIDENT)
(315) 652-0000
Entity
Organization
Contact information
Practice address
8130 OSWEGO RD, SUITE 1, LIVERPOOL, NY 13090-1520
(315) 652-0000
(315) 652-2736
Mailing address
8130 OSWEGO RD, SUITE 1, LIVERPOOL, NY 13090-1520
(315) 652-0000
(315) 652-2736
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004235
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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