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Organization
SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC
Active
Organization
SAMARITAN COUNSELING CENTER OF THE MOHAWK VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S DAVIS ED.D, LMHC (EXECUTIVE DIRECTOR)
(315) 724-5173
Entity
Organization
Contact information
Practice address
1612 GENESEE ST, UTICA, NY 13502-5425
(315) 724-5173
(315) 724-5323
Mailing address
1612 GENESEE ST, UTICA, NY 13502-5425
(315) 724-5173
(315) 724-5323
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110153
EXCELLUS BLUECROSS BLUESH
NY
01
—
415111
MVP
NY
Enumeration date
09/20/2006
Last updated
04/15/2024
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