Crystal Waters Licensed Clinical Social Work, PLLC
Crystal Waters Licensed Clinical Social Work, PLLC is a Community/Behavioral Health Agency in Corning, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
83 W Pulteney StCorning, NY 14830-2213
Phone: (607) 654-9872
Fax: (607) 973-2727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence 080623 (NY) |
|---|
Record details
| NPI number | 1821599788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Janet Fabian — Owner · (607) 654-9872 |
| NPI enumerated | February 26, 2018 |
| Last updated in NPPES | February 26, 2018 |
| Mailing address | 62 South St, Addison, NY 14801-1319 |
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