Organization · Type 2 NPI

Fresh Alternative Counseling, Lcsw, PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Penfield, NY

NPI number 1811513658 Active

Practice location

21 Willow Pond Way Ste 204
Penfield, NY 14526-2687

Mailing address

3221 Woods Edge
Walworth, NY 14568-9568

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1811513658

Fresh Alternative Counseling, Lcsw, PLLC's National Provider Identifier is 1811513658, issued on Jun 17, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Penfield, NY. The record was last updated on Jun 17, 2020.