Individual
MITCHELL JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
530 OAK ST, SYRACUSE, NY 13203-1652
(315) 345-8886
Mailing address
1707 EUCLID AVE, SYRACUSE, NY 13224-1903
(315) 345-8886
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00142-01
NY
Other
Enumeration date
02/11/2007
Last updated
10/14/2015
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