Individual
CORINNE KIMMELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2452 ROUTE 9, SUITE 206, MALTA, NY 12020
(518) 292-5433
Mailing address
34 HOLLANDALE LN, APT. G, CLIFTON PARK, NY 12065-5282
(631) 678-5117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P107763
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2020
Last updated
08/17/2022
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