Individual
JOHANNA KORBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
3 MARKET ST, WAPPINGERS FALLS, NY 12590-2301
(845) 321-5644
Mailing address
3 MARKET ST, WAPPINGERS FALLS, NY 12590-2301
(845) 321-5644
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
004770-1
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
004770-1
NY
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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