Organization
SUNY POTSDAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA C. NELSON LMHC, NCC (COUNSELOR)
(315) 267-2330
Entity
Organization
Contact information
Practice address
44 PIERREPONT AVE., SUNY POTSDAM COUNSELING CENTER, POTSDAM, NY 13676
(315) 267-2330
Mailing address
605 COUNTY ROUTE 48, NORWOOD, NY 13668-3222
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
002888-1
NY
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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