| Mrs Elizabeth Catherine Close, | |
|
17 E Genesee St, Auburn, NY 13021-4040 | |
| (315) 253-9795 | |
| Not Available |
| Full Name | Mrs Elizabeth Catherine Close |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 17 E Genesee St, Auburn, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053796763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Liberty Resources Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225254881 PECOS PAC ID: 4486703352 Enrollment ID: O20090526000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Catherine Close, 17 E Genesee St, Auburn, NY 13021-4040 Ph: (315) 253-9795 | Mrs Elizabeth Catherine Close, 17 E Genesee St, Auburn, NY 13021-4040 Ph: (315) 253-9795 |
Robert J Thomas, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Ms. Sally Stormon, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-4316 | |
Ms. Alice E. Sweet Faatz, ATR, LPC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Susana Scotti, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Tuxill Sq, Auburn, NY 13021 Phone: 510-619-8754 | |
Ashley Wright, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1879 W Genesee Street Rd, Auburn, NY 13021 Phone: 315-704-4248 | |
Marc Homick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 Fax: 315-253-3255 | |
Michael Edward Martin, MS, LCAT, ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 E Genesee St, Auburn, NY 13021 Phone: 315-253-9795 |