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Organization
THE FAMILY COUNSELING CENTER OF FULTON COUNTY INC
Active
Organization
THE FAMILY COUNSELING CENTER OF FULTON COUNTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL COUNTRYMAN (EXECUTIVE DIRECTOR)
(518) 725-4310
Entity
Organization
Contact information
Practice address
11-21 BROADWAY, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556
Mailing address
11-21 BROADWAY, GLOVERSVILLE, NY 12078-3968
(518) 725-4310
(518) 725-2556
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01384734
—
NY
Enumeration date
05/15/2006
Last updated
04/27/2018
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