Individual
MS. LINDA NOONAN VAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC
Contact information
Practice address
201 W GENESEE ST # 247, FAYETTEVILLE, NY 13066-1313
(315) 439-6970
Mailing address
201 W GENESEE ST # 247, FAYETTEVILLE, NY 13066-1313
(315) 439-6970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007016
CRC LICENSE
—
Enumeration date
09/11/2008
Last updated
01/23/2012
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