Organization
CORTLAND COUNTY COUNTY TREASURER
Active
Other names
Cortland County Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON MACDOUGALL LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
(607) 758-6100
Entity
Organization
Contact information
Practice address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
(607) 758-6116
Mailing address
7 CLAYTON AVE, CORTLAND, NY 13045-2501
(607) 758-6100
(607) 758-6116
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00562890
—
NY
05
—
02997464
—
NY
Enumeration date
06/05/2008
Last updated
05/18/2023
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