Individual
DR. MARY ANN YACONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
458 OLD NISKAYUNA RD, LATHAM, NY 12110-1569
(518) 867-9118
Mailing address
458 OLD NISKAYUNA RD, LATHAM, NY 12110-1569
(518) 867-9118
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
004024
NY
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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