Organization
MARRIAGE & FAMILY THERAPY ASSOCIATES
Active
Other names
Richard N. Mack
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD NEWELL MACK M.DIV., LMFT (EXECUTIVE DIRECTOR)
(315) 282-7076
Entity
Organization
Contact information
Practice address
2 SOUTH ST STE 210, AUBURN, NY 13021-6174
(315) 282-7076
Mailing address
2 SOUTH ST STE 210, AUBURN, NY 13021-6174
(315) 282-7076
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000906
NY
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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