Copeland Counseling for Youth

NPI #1558444927 in Homer, New York

Provider Information

NPI Number
1558444927
Entity Type
Organization
Organization Name
Copeland Counseling for Youth
Primary Specialty
Social Worker - Clinical
Enumeration Date
Oct 22, 2006
Last Updated
Jun 26, 2008

Practice Location

Address
24 COPELAND AVE
City
Homer
ZIP Code
13077-1529
Phone
(315) 243-1578

Authorized Official

Name
MRS. SUSAN STAFFORD THOMAS, LCSW-R
Title
LICENSED CLINICAL SOCIAL WORKER
Phone
(315) 243-1578

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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