Organization
INTEGRATED COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY PAUL BARLOW PH.D. (MANAGING MEMBER)
(607) 481-1194
Entity
Organization
Contact information
Practice address
371 W CHURCH ST, ELMIRA, NY 14901-2620
(607) 481-1194
Mailing address
25 E VARGO RD, HORSEHEADS, NY 14845-9319
(607) 481-1194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018932
NY
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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