Organization
COUNTRYSIDE MENTAL HEALTH COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY MOONEY (DIRECTOR/CEO)
(315) 557-8893
Entity
Organization
Contact information
Practice address
7254 STATE ROUTE 5, CLINTON, NY 13323-3432
(315) 557-8893
Mailing address
PO BOX 154, CLINTON, NY 13323-0154
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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