Provider Demographics
NPI:1336687490
Name:NUSTEP PROFESSIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:NUSTEP PROFESSIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DIANA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:315-433-1500
Mailing Address - Street 1:505 E FAYETTE ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-1975
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:315-433-1503
Practice Address - Street 1:505 E FAYETTE ST
Practice Address - Street 2:SUITE 216
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-1975
Practice Address - Country:US
Practice Address - Phone:315-433-1500
Practice Address - Fax:315-433-1503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health