| NPI | 1578740403 |
|---|---|
| Doing Business As | INTEGRATIVE COUNSELING SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | JODI ANN MULLEN Director 315-342-9255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 00518) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |