Individual
CLAIRE ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 W GENESEE ST STE 400, CAMILLUS, NY 13031
(315) 320-3142
Mailing address
32A BALL RD, SYRACUSE, NY 13215-1602
(540) 818-5610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008060
NEW YORK STATE LICENSE
NY
Enumeration date
02/06/2018
Last updated
11/12/2019
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