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Organization
LIZA MORDKOVICH COUNSELING
Active
Organization
LIZA MORDKOVICH COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ALLEN (COMPLIANCE & PAYER SERVICES MANAGER)
(917) 983-2615
Entity
Organization
Contact information
Practice address
90 STATE ST STE 700, ALBANY, NY 12207-1707
(917) 983-2615
(866) 282-0569
Mailing address
90 STATE ST STE 700, ALBANY, NY 12207-1707
(917) 983-2615
(866) 282-0569
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
11/09/2023
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