Individual provider · Type 1 NPI

Kim Russell Gearhart, L.C.S.W. - R

Mental Health Counselor · Clinton, NY

NPI number 1801989140 Active

Practice location

7325 State Route 5
Clinton, NY 13323-3435

Fax (315) 859-1979

Mailing address

9863 Morgan Rd
Marcy, NY 13403-2534

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR042229-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1801989140

Kim Russell Gearhart, L.C.S.W. - R's National Provider Identifier is 1801989140, issued on Oct 1, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton, NY. The record was last updated on Jul 8, 2007.