Organization
BLUE BEACON MENTAL HEALTH COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENELOPE E LUPO LMHC (SOLE MEMBER MANAGER)
(315) 730-7271
Entity
Organization
Contact information
Practice address
4 CLYMER ST, AUBURN, NY 13021-4710
(315) 730-7271
(315) 975-6604
Mailing address
4 CLYMER ST, AUBURN, NY 13021-4710
(315) 730-7271
(315) 975-6604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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