Individual provider · Type 1 NPI

Lourdes Faride Brache-Tabar, LMHC

Mental Health Counselor · Syracuse, NY

NPI number 1992476188 Active

Practice location

600 E Genesee St
Syracuse, NY 13202-3130

Call (315) 516-8466 Map

Mailing address

1002 Euclid Avemue
Syracuse, NY 13210

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X001711-01 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1992476188

Lourdes Faride Brache-Tabar, LMHC's National Provider Identifier is 1992476188, issued on Sep 27, 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 Sep 27, 2021.