| Fresh Alternative Counseling, Lcsw, Pllc | |
|
21 Willow Pond Way Ste 204 Penfield NY 14526-2687 | |
| (585) 282-6091 | |
| Not Available |
| Full Name | Fresh Alternative Counseling, Lcsw, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21 Willow Pond Way Ste 204, Penfield, New York |
| Authorized Official Name and Position | Margaret Lane (OWNER) |
| Authorized Official Contact | 3159864394 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Alternative Counseling, Lcsw, Pllc 3221 Woods Edge Walworth NY 14568-9568 Ph: (585) 282-6091 | Fresh Alternative Counseling, Lcsw, Pllc 21 Willow Pond Way Ste 204 Penfield NY 14526-2687 Ph: (585) 282-6091 |
| NPI Number | 1811513658 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 06/17/2020 |
| Certification Date | 06/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811513658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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