Individual
ANNA M GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
465 N MAIN ST, JOHN D. KELLY BEHAVIORIAL HEALTH, PENN YAN, NY 14527-1069
(315) 531-2420
Mailing address
2546 COUNTY HOUSE RD, PENN YAN, NY 14527-9315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
003852
NY
Other
Enumeration date
02/02/2012
Last updated
05/14/2012
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