Individual
COURTENEY FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
205 HUDSON ST FL 9, NEW YORK, NY 10013-1810
(646) 941-7645
(929) 596-7897
Mailing address
1 HENRY DR, HOPEWELL JCT, NY 12533-5233
(845) 702-6720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011820
NY
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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