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Mr. Marcus Lacey Smith
Mental Health Counselor in Syracuse, New York
NPI 1083378764

Marcus Lacey Smith is a Mental Health Counselor based in Syracuse, NY and is specialized in Mental Health. Marcus Lacey Smith practices in Syracuse, NY. The NPI Number for Marcus Lacey Smith is 1083378764 and holds a License No. 005367 (New York).

The current practice location address for Marcus Lacey Smith is 1106 E Genesee St, Syracuse, NY and can be reached out via phone at 315-391-8482.

Location: 1106 E Genesee St, Syracuse, NY, 13210-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083378764
Provider Name
Marcus Lacey Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
1106 E Genesee St, Syracuse, NY, 13210-1901
Phone Number
315-391-8482
Fax Number
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
005367 01 NY LMHC
institution
Provider Business Practice Location Address Details
Address
1106 E Genesee St
City
Syracuse
State
New York
Zip
13210-1901
Phone Number
315-391-8482
Fax Number
person
Provider Business Mailing Address Details
Address
1106 E Genesee St
City
Syracuse
State
New York
Zip
13210-1901
Phone Number
315-391-8482
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
005367 (New York)
Definition
Definition to come...
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