Individual provider · Type 1 NPI
Susan Eades Corcoran, LCSW
Mental Health Counselor · New York, NY
NPI number
1831218023
Active
Practice location
300 Mercer St, Ste. 3L
New York, NY 10003-6724
Fax (212) 828-8724
Mailing address
1130 Park Ave, APT.152
New York, NY 10128-1255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | R040786-1 (NY) |
Mental Health Counselor: Definition to come...
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About NPI 1831218023
Susan Eades Corcoran, LCSW's National Provider Identifier is 1831218023, issued on Mar 28, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.