Organization
FULTON COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNEST J GAGNON LMSW (DIRECTOR OF COMMUNITY SERVICES)
(518) 773-3531
Entity
Organization
Contact information
Practice address
57 E FULTON ST, GLOVERSVILLE, NY 12078-3212
(518) 773-3531
(518) 773-9103
Mailing address
57 E FULTON ST, GLOVERSVILLE, NY 12078-3212
(518) 773-3531
(518) 773-9103
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
6862100A
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562863
—
NY
Enumeration date
02/08/2006
Last updated
08/22/2020
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