R Felldin Lcsw-R Clinical Support

NPI #1518677178 in Afton, New York

Provider Information

NPI Number: 1518677178
Entity Type: Organization
Organization Name: R Felldin Lcsw-R Clinical Support
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Dec 5, 2022
Last Updated: Dec 5, 2022

Practice Location

Address: 205 ALGERINE ST
City: Afton
State: New York
ZIP Code: 13730-2203
Phone: (607) 639-1215

Authorized Official

Name: ROBIN FELLDIN, LCSW-R
Title: OWNER
Phone: (607) 639-1215

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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