Organization
COUNTY OF GREENE
Active
Other names
Greene County Mental Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON R FREDENBERG PSY.D. (DIRECTOR)
(518) 622-9163
Entity
Organization
Contact information
Practice address
905 GREENE COUNTY OFFICE BLDG, CAIRO, NY 12413-2868
(518) 622-9163
(518) 622-8592
Mailing address
905 GREENE COUNTY OFFICE BLDG, CAIRO, NY 12413-2868
(518) 622-9163
(518) 622-8592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6864100A
NY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1255360046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00542489
—
NY
05
—
02994907
—
NY
Enumeration date
07/02/2006
Last updated
11/05/2021
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