# SUNY POTSDAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932316569
- **Authorized official:** GENA C. NELSON LMHC, NCC (COUNSELOR)
- **Authorized official phone:** (315) 267-2330

## Contact information

- **Practice address:** 44 PIERREPONT AVE., SUNY POTSDAM COUNSELING CENTER, POTSDAM, NY 13676
- **Practice address phone:** (315) 267-2330
- **Mailing address:** 605 COUNTY ROUTE 48, NORWOOD, NY 13668-3222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 002888-1 | NY | Yes |

## Other

- **Enumeration date:** 05/16/2007
- **Last updated:** 08/22/2020