| Giles Sieburg | |
|
213 Yale Ave Syracuse NY 13219-2651 | |
| (315) 925-6113 | |
| Not Available |
| Full Name | Giles Sieburg |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 213 Yale Ave, Syracuse, New York |
| Authorized Official Name and Position | Giles Christopher Sieburg (OWNER) |
| Authorized Official Contact | 3159256113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Giles Sieburg 213 Yale Ave Syracuse NY 13219-2651 Ph: (315) 925-6113 | Giles Sieburg 213 Yale Ave Syracuse NY 13219-2651 Ph: (315) 925-6113 |
| NPI Number | 1174277206 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 11/22/2023 |
| Certification Date | 11/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174277206 | NPI | - | NPPES |
| 001657 | Other | NY | MARRIAGE AND FAMILY THERAPIST LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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