Individual provider · Type 1 NPI

Theresa Kanthi Patnala

Mental Health Counselor · Gloversville, NY

NPI number 1104770403 Active

Practice location

11-21 Broadway St
Gloversville, NY 12078-3968

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP121074 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1104770403

Theresa Kanthi Patnala's National Provider Identifier is 1104770403, issued on Feb 24, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gloversville, NY. The record was last updated on Feb 24, 2026.