Individual
MS. TINA IACOVISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MFT
Contact information
Practice address
6700 KIRKVILLE RD, EAST SYRACUSE, NY 13057-9305
(315) 492-1390
Mailing address
ALKIRA MARRIAGE AND FAMILY THERAPY, 6700 KIRKVILLE RD, EAST SYRACUSE, NY 13507
(315) 492-1390
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NY
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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