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Katherine Dishaw
Mental Health Counselor in East Syracuse, New York
NPI 1841717857

Katherine Dishaw is a Mental Health Counselor based in Cicero, NY and is specialized in Mental Health. Katherine Dishaw practices in East Syracuse, NY. The NPI Number for Katherine Dishaw is 1841717857 and holds a License No. 31141 (New York).

The current practice location address for Katherine Dishaw is 5800 Heritage Landing Dr Ste E, East Syracuse, NY and can be reached out via phone at 585-490-9931.

Location: 5800 Heritage Landing Dr Ste E, East Syracuse, NY, 13039-8647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841717857
Provider Name
Katherine Dishaw
Credential
Provider Entity Type
Individual
Gender
Female
Address
5800 Heritage Landing Dr Ste E, East Syracuse, NY, 13039-8647
Phone Number
585-490-9931
Fax Number
Provider Enumeration Date
08/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5800 Heritage Landing Dr Ste E
City
East Syracuse
State
New York
Zip
13057-9378
Phone Number
585-490-9931
Fax Number
person
Provider Business Mailing Address Details
Address
5800 Heritage Landing Dr Ste E
City
East Syracuse
State
New York
Zip
13057-9378
Phone Number
585-490-9931
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
07877-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
31141 (New York)
Definition
Definition to come...
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