Brockport Marriage & Family Therapy, P.c.

NPI #1134427834 in Brockport, New York

Provider Information

NPI Number: 1134427834
Entity Type: Organization
Organization Name: Brockport Marriage & Family Therapy, P.c.
Primary Specialty: Marriage & Family Therapist
Enumeration Date: Mar 3, 2011
Last Updated: Mar 3, 2011

Practice Location

Address: 2 MAIN ST
City: Brockport
State: New York
ZIP Code: 14420-1937
Phone: (585) 395-0091

Authorized Official

Name: MS. JENNIFER H. KING, LMFT
Title: OWNER
Phone: (585) 395-0091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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