Organization
KALEIDOSCOPE PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN J GARDNER MSW, LCSW, LICSW (MEMBER OWNER)
(518) 269-2179
Entity
Organization
Contact information
Practice address
32 FLENSBURG DR, TROY, NY 12180
(518) 269-2179
Mailing address
32 FLENSBURG DR, TROY, NY 12180
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
02/10/2023
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