Organization
FRESH ALTERNATIVE COUNSELING, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET LANE (OWNER)
(315) 986-4394
Entity
Organization
Contact information
Practice address
21 WILLOW POND WAY STE 204, PENFIELD, NY 14526-2687
(585) 282-6091
Mailing address
3221 WOODS EDGE, WALWORTH, NY 14568-9568
(585) 282-6091
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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