Individual
CORMAC JAMES TOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1182 TROY SCHENECTADY RD, LATHAM, NY 12110-1001
(518) 400-5180
Mailing address
130 NORTH RD, GREENVILLE, NY 12083-3026
(518) 291-3523
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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