Organization
CLINTON COUNTY
Active
Other names
Mental Health & Addiction Services
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE GREGORY (DIRECTOR OF COMMUNITY SERVICES)
(518) 565-4060
Entity
Organization
Contact information
Practice address
130 ARIZONA AVE STE 1500, PLATTSBURGH, NY 12903-4908
(518) 565-4060
(518) 566-0168
Mailing address
130 ARIZONA AVE STE 1500, PLATTSBURGH, NY 12903-4908
(518) 565-4060
(518) 566-0168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
05727
NY
101YM0800X
Mental Health Counselor
Primary
685511
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672046
—
NY
Enumeration date
06/13/2006
Last updated
03/17/2018
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