Individual
MRS. ANGELA FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
104 HARVEST RD, FAIRPORT, NY 14450-2835
(585) 705-3179
Mailing address
104 HARVEST RD, FAIRPORT, NY 14450-2835
(585) 705-3179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
014919
NY
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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