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Organization
KIMBERLY JANKUNAS LCSW PLLC
Active
Organization
KIMBERLY JANKUNAS LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY L JANKUNAS LCSW-R (SUPERVISOR)
(330) 416-0425
Entity
Organization
Contact information
Practice address
172 OAK LEAF CIR, GLOVERSVILLE, NY 12078-5835
(330) 416-0425
(315) 802-7670
Mailing address
172 OAK LEAF CIR, GLOVERSVILLE, NY 12078-5835
(330) 416-0425
(315) 802-7670
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432450
—
NY
Enumeration date
11/25/2020
Last updated
11/25/2020
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