Individual provider · Type 1 NPI

Ketevan Gagnidze-McCormick, LMHC

Mental Health Counselor · Newburgh, NY

NPI number 1356661037 Active

Practice location

10 Bruce St
Newburgh, NY 12550-6602

Call (845) 561-7284 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X003123 (NY)
Professional Counselor 101YP2500X37PC00314800 (NJ)
Social Worker 104100000X44SW05190800 (NJ)

Mental Health Counselor: Definition to come...

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About NPI 1356661037

Ketevan Gagnidze-McCormick, LMHC's National Provider Identifier is 1356661037, issued on Jun 4, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newburgh, NY. The record was last updated on Jun 4, 2010.