Individual provider · Type 1 NPI

Amudalat Fola Lasisi, LMHC

Mental Health Counselor · Syracuse, NY

NPI number 1831648948 Active

Practice location

1045 James St
Syracuse, NY 13203-2730

Call (315) 472-4471 Map

Fax (315) 472-1759

Mailing address

14450 177th St
Jamaica, NY 11434-4918

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800X008259 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1831648948

Amudalat Fola Lasisi, LMHC's National Provider Identifier is 1831648948, issued on Sep 30, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Syracuse, NY. The record was last updated on Jan 12, 2018.