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

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XR040786-1 (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.