Organization
KIRANJIT K. LONGAKER, MENTAL HEALTH COUNSELOR, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRANJIT K LONGAKER LMHC (OWNER)
(607) 592-6539
Entity
Organization
Contact information
Practice address
401 E STATE ST STE 400, ITHACA, NY 14850-4400
(607) 592-6539
Mailing address
112 TREVA AVE, ITHACA, NY 14850-6138
(607) 592-6539
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
006416
NY
Other
Enumeration date
08/15/2015
Last updated
10/26/2018
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