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Organization
EXPERIENTIAL MENTAL HEALTH COUNSELING LLC
Active
Organization
EXPERIENTIAL MENTAL HEALTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY REID LMHC (DIRECTOR)
(518) 945-8828
Entity
Organization
Contact information
Practice address
120 DEFREEST DR STE 220, TROY, NY 12180-7608
(518) 945-8828
Mailing address
120 DEFREEST DR STE 220, TROY, NY 12180-7608
(518) 945-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008111
NY
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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