Individual provider · Type 1 NPI
Dominica Potenza, LMHC, LPC, NCC
Mental Health Counselor · Syracuse, NY
NPI number
1104223379
Active
Practice location
800 Irving Ave
Syracuse, NY 13210-2716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 006175 (NY) |
| Professional Counselor | 101YP2500X | 2662 (CT) |
Mental Health Counselor: Definition to come...
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About NPI 1104223379
Dominica Potenza, LMHC, LPC, NCC's National Provider Identifier is 1104223379, issued on Dec 3, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on Aug 17, 2015.