| Sanctuary Mental Health Counseling Services, Pllc | |
|
333 Ashdale Ave Syracuse NY 13206-1605 | |
| (315) 289-2504 | |
| Not Available |
| Full Name | Sanctuary Mental Health Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 333 Ashdale Ave, Syracuse, New York |
| Authorized Official Name and Position | Jahleh Mohammadi (OWNER) |
| Authorized Official Contact | 3152892504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanctuary Mental Health Counseling Services, Pllc 333 Ashdale Ave Syracuse NY 13206-1605 Ph: (315) 289-2504 | Sanctuary Mental Health Counseling Services, Pllc 333 Ashdale Ave Syracuse NY 13206-1605 Ph: (315) 289-2504 |
| NPI Number | 1205541869 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205541869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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