Individual provider · Type 1 NPI

Marcus Lacey Smith

Mental Health Counselor · Syracuse, NY

NPI number 1083378764 Active

Practice location

1106 E Genesee St
Syracuse, NY 13210-1901

Other practice locations

  • 103 Wilson Pl, Syracuse, NY 13214-1924 · (315) 391-8482

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X005367 (NY)

Mental Health Counselor: Definition to come...

11 other providers at this address

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About NPI 1083378764

Marcus Lacey Smith's National Provider Identifier is 1083378764, issued on Oct 28, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on Oct 28, 2021.