Phoenix Rising Therapeutic Services Lcsw PC
NPI #1003295395 in Alfred Station, New York
Provider Information
- NPI Number
- 1003295395
- Entity Type
- Organization
- Organization Name
- Phoenix Rising Therapeutic Services Lcsw PC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 20, 2015
- Last Updated
- May 20, 2015
Practice Location
- Address
- 5295 E VALLEY RD
- City
- Alfred Station
- State
- New York
- ZIP Code
- 14803-9715
- Phone
- (607) 587-8260
Authorized Official
- Name
- MARY BETH MCDONOUGH, LCSW-R
- Title
- SOLE OWNER
- Phone
- (607) 587-8260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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