Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 000285 | NY |
N | 101YP1600X | Pastoral Counselor |
NPI | 1144278797 |
---|---|
Provider Name | Mr. Eric Steven Hesse |
First Address | Rome, NY 13440-2355 |
Second Address | Rome, NY 13440-2355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2006 |
Last Update Date | 08/07/2007 |