person
Mrs. Alice Smith, LMHC,CASAC
Mental Health Counselor in Port Jervis, New York
NPI 1689129694

Alice Smith is a Mental Health Counselor based in Port Jervis, NY and is specialized in Mental Health. Alice Smith practices in Port Jervis, NY and has the professional credentials of LMHC,CASAC. The NPI Number for Alice Smith is 1689129694 and holds a License No. 000429 (New York).

The current practice location address for Alice Smith is 123 Pike St, Port Jervis, NY and can be reached out via phone at 845-856-7576 and via fax at 845-856-8231.

Location: 123 Pike St, Port Jervis, NY, 12771-1824
person
Provider Profile Details
NPI Number
1689129694
Provider Name
Alice Smith
Credential
LMHC,CASAC
Provider Entity Type
Individual
Gender
Female
Address
123 Pike St, Port Jervis, NY, 12771-1824
Phone Number
845-856-7576
Fax Number
845-856-8231
Provider Enumeration Date
08/19/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12588 01 NY NYS OASAS
000429 01 NY NEW YORK STATE OFFICE OF PROFESSIONS
institution
Provider Business Practice Location Address Details
Address
123 Pike St
City
State
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
845-856-8231
person
Provider Business Mailing Address Details
Address
123 Pike St
City
State
Zip
12771-1824
Phone Number
845-856-7576
Fax Number
845-856-8231
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
000429 (New York)
Definition
Definition to come...
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