Individual provider · Type 1 NPI

Thea Kaitlynne Bohannon, MS, LMHC

Mental Health Counselor · Carthage, NY

NPI number 1174907828 Active

Practice location

3 Bridge St
Carthage, NY 13619-1360

Fax (315) 493-3306

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X008393 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1174907828

Thea Kaitlynne Bohannon, MS, LMHC's National Provider Identifier is 1174907828, issued on Jul 13, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Carthage, NY. The record was last updated on May 4, 2021.