33D2208453 CLIA NUMBER - FAMILY COUNSELING SERVICES OF CORLAND CO INC

Laboratory Demographics

CLIA Number: 33D2208453

Facility Name: FAMILY COUNSELING SERVICES OF CORLAND CO INC

Facility Address:
165 MAIN ST
CORTLAND, NY
ZIP 13045
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Facility Phone Number: 607 753-0234

Facility Type: Other - BEHAVIORAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1336163963

Taxonomy: 101Y00000X - Counselor
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

CLIA Record

Field Name Field Value
CLIA Number 33D2208453
LAB Type Other - BEHAVIORAL HEALTH CLINIC
Facility Name FAMILY COUNSELING SERVICES OF CORLAND CO INC
Street 165 MAIN ST
City CORTLAND
State NY
ZIP 13045
Phone 607 753-0234
CertificateType 4
CertificateEffectiveDate 1/6/2021
CertificateExpirationDate 3/26/2027
FacilityType Waiver

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This page was last updated on: 4/23/2024