Individual
CAITLYN THERESA MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
586 PRESIDENT ST, BROOKLYN, NY 11215-2034
(917) 397-6760
Mailing address
586 PRESIDENT ST, BROOKLYN, NY 11215-2034
(917) 397-6760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
017761
NY
101YM0800X
Mental Health Counselor
Primary
P127169
NY
Other
Enumeration date
09/05/2024
Last updated
04/07/2026
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