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Organization
INCLUSIVE MENTAL HEALTH COUNSELING SERVICES ,PLLC
Active
Organization
INCLUSIVE MENTAL HEALTH COUNSELING SERVICES ,PLLC
Active
Other names
Radiant Abilities, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHRYN R OCONNELL LMHC (CEO)
(131) 549-2489
Entity
Organization
Contact information
Practice address
107 HAWTHORNE DR, CAMILLUS, NY 13031-1407
(315) 492-4899
(315) 883-8305
Mailing address
107 HAWTHORNE DR, CAMILLUS, NY 13031-1407
(315) 492-4899
(315) 883-8305
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002419-01
INSURANCE COMPANIES
NY
05
—
02046257
—
NY
Enumeration date
01/31/2024
Last updated
07/18/2024
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