Chanthasensak, Alice

Chanthasensak, Alice is an sole proprietor health care provider with primary practice located at 1045 James St , Syracuse NY 13203-2730. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Chanthasensak, Alice can be contacted via phone (315) 472-4471.

Contact Information

Primary practice address
1045 James St Syracuse NY 13203-2730
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 001545-1 New York

Profile Details

NPI number 1518430982
LBN Legal business name Chanthasensak, Alice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2019
Last updated Mar 4th, 2020 - about 6 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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