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Organization
SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC
Active
Organization
SAMARITAN LICENSED CLINICAL SOCIAL WORK, PC
Active
Other names
Samaritan Counseling Center of the Capital Region, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LEE VALIQUETTE (OFFICE ADMINISTRATOR)
(518) 374-3514
Entity
Organization
Contact information
Practice address
220 NORTH BALLSTON AVENUE, SCOTIA, NY 12302-2533
(518) 374-3514
(518) 374-9193
Mailing address
220 NORTH BALLSTON AVENUE, SCOTIA, NY 12302-2533
(518) 374-3514
(518) 374-9193
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/16/2006
Last updated
08/14/2009
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