Organization
ILLUMINA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN H SMITH PSY.D. (PARTNER)
(607) 326-7718
Entity
Organization
Contact information
Practice address
3026 COUNTY ROUTE 36, DENVER, NY 12421
(607) 326-7718
Mailing address
3026 COUNTY ROUTE 36, P O BOX 101, DENVER, NY 12421
(607) 326-7718
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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