Individual
KAYLEA DINEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
677 S SALINA ST STE 200, SYRACUSE, NY 13202-3513
(315) 479-1164
Mailing address
677 S SALINA ST STE 200, SYRACUSE, NY 13202-3513
(315) 479-1164
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001243
NY
Other
Enumeration date
05/22/2019
Last updated
08/15/2019
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