Potenza, Dominica

Potenza, Dominica is an individual health care provider with primary practice located at 800 Irving Ave , Syracuse NY 13210-2716. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Potenza, Dominica can be contacted via phone (315) 425-4400.

Contact Information

Primary practice address
800 Irving Ave Syracuse NY 13210-2716
Phone: (315) 425-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 006175 New York
Behavioral Health & Social Service Providers / Professional 101YP2500X 2662 Connecticut

Profile Details

NPI number 1104223379
LBN Legal business name Potenza, Dominica
Credentials LMHC, LPC, NCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2014
Last updated Aug 17th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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