Individual
KAITLYN CONGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 GREEN ST, SYRACUSE, NY 13203-2311
(315) 472-4442
Mailing address
555 E GENESEE ST, SYRACUSE, NY 13202-2118
(315) 472-4442
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39253
NY
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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