Organization
CENTRAL NEW YORK SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA L COVELL CASAC (COUNSELOR)
(315) 478-0610
Entity
Organization
Contact information
Practice address
321 W ONONDAGA ST STE 201, SYRACUSE, NY 13202-3207
(315) 478-0610
Mailing address
321 W ONONDAGA ST STE 201, SYRACUSE, NY 13202-3207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29935
NY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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