Organization
ANNA POIARKOFF THERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA POIARKOFF LCSW (MEMBER MANAGER)
(330) 447-2849
Entity
Organization
Contact information
Practice address
437 E ALLEN ST, HUDSON, NY 12534-2422
(518) 336-0232
Mailing address
437 E ALLEN ST, HUDSON, NY 12534-2422
(518) 336-0232
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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