Organization
NORTHERN COMPASS MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEYDI TATIANA FONSECA LCSW/LCADC (MENTAL HEARTH THERAPIST)
(862) 264-9284
Entity
Organization
Contact information
Practice address
212 HIGHGATE RD, ITHACA, NY 14850-1436
(862) 264-9284
Mailing address
212 HIGHGATE RD, ITHACA, NY 14850-1436
(862) 264-9284
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/27/2024
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