Individual provider · Type 1 NPI
Mary Beth D'amico, MS LMHC
Mental Health Counselor · Oswego, NY
NPI number
1104013812
Active
Practice location
5 West Cayuga St, Integrative Services Inc.
Oswego, NY 13126
Mailing address
PO Box 5246
Oswego, NY 13126-5246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 000899-1 (NY) |
| Case Manager/Care Coordinator | 171M00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104013812
Mary Beth D'amico, MS LMHC's National Provider Identifier is 1104013812, issued on Sep 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oswego, NY. The record was last updated on Jul 18, 2012.