person
Dominica Potenza, LMHC,LPC,NCC
Professional Counselor in Syracuse, New York
NPI 1104223379

Dominica Potenza is a Professional Counselor based in Syracuse, NY and is specialized in Professional. Dominica Potenza practices in Syracuse, NY and has the professional credentials of LMHC,LPC,NCC. The NPI Number for Dominica Potenza is 1104223379 and holds a License No. 006175 (New York).

The current practice location address for Dominica Potenza is 800 Irving Ave, Syracuse, NY and can be reached out via phone at 315-425-4400.

Location: 800 Irving Ave, Syracuse, NY, 13210-2716
person
Provider Profile Details
NPI Number
1104223379
Provider Name
Dominica Potenza
Credential
LMHC,LPC,NCC
Provider Entity Type
Individual
Gender
Female
Address
800 Irving Ave, Syracuse, NY, 13210-2716
Phone Number
315-425-4400
Fax Number
Provider Enumeration Date
12/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
800 Irving Ave
City
State
Zip
13210-2716
Phone Number
315-425-4400
Fax Number
person
Provider Business Mailing Address Details
Address
800 Irving Ave
City
State
Zip
13210-2716
Phone Number
315-425-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2662 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
006175 (New York)
Definition
Definition to come...
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