Individual
ROBERT ERIC SVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 ELM STREET, PERU, NY 12972-0038
(518) 643-8641
Mailing address
PO BOX 38, 13 ELM STREET, PERU, NY 12972-0038
(518) 643-8641
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003360-1
NY
106H00000X
Marriage & Family Therapist
Primary
000565-1
NY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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