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Organization
MOHAWK VALLEY COUNSELING SERVICE
Active
Organization
MOHAWK VALLEY COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A. LUNDQUIST LCSW-R (OWNER)
(315) 868-8610
Entity
Organization
Contact information
Practice address
178 2ND ST STE 2, ILION, NY 13357-2038
(315) 868-8610
(315) 867-2004
Mailing address
178 2ND ST STE 2, ILION, NY 13357-2038
(315) 868-8610
(315) 867-2004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R042820-1
NY
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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