Individual
COREY O'HALLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
751 BRIGGS HWY, ELLENVILLE, NY 12428-5501
(845) 647-8006
Mailing address
751 BRIGGS HWY, ELLENVILLE, NY 12428-5501
(845) 647-8006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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