Shirley McFadden, LMHC

Individual provider Active NPI Professional Counselor · Adams, NY

NPI 1154786341 · NPPES record last updated Dec 15, 2015

Key facts

NPI
1154786341
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
1942 (NY)
Practice address
18821 Spring St
Adams, NY 13605-3209
Phone
(315) 767-5615
NPI assigned
Dec 15, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1942NYMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1942 NY Yes

Addresses

Primary practice location

18821 Spring St
Adams, NY 13605-3209

Mailing address

18821 Spring St
Adams, NY 13605-3209
Phone (315) 767-5615

Other providers in Adams, NY

All providers in Adams, NY · Professional Counselor in New York

Sources for this page

Verify at the official NPI Registry.