Mountain Community Wellness Center

NPI #1619248762 in Watertown, New York

Provider Information

NPI Number: 1619248762
Entity Type: Organization
Organization Name: Mountain Community Wellness Center
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 21, 2012
Last Updated: Jan 21, 2012

Practice Location

Address: 210 COURT ST
Address 2: SUITE 4
City: Watertown
State: New York
ZIP Code: 13601-4546
Phone: (315) 221-4381

Authorized Official

Name: MR. JERRY MICHAEL BROWN, LCSW-R
Title: CLINICAL DIRECTOR
Phone: (315) 221-4381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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