Individual provider · Type 1 NPI

Korey Supernaw

Mental Health Counselor · Plattsburgh, NY

NPI number 1609752997 Active

Practice location

22 US Oval Ste 100
Plattsburgh, NY 12903-5901

Mailing address

2155 Route 22B
Morrisonville, NY 12962-3417

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP137536 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1609752997

Korey Supernaw's National Provider Identifier is 1609752997, issued on Aug 13, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plattsburgh, NY. The record was last updated on Aug 13, 2025.