MRS. KETEVAN GAGNIDZE-MCCORMICK, LMHC

Counselor - Mental Health

Active Individual
NPI: 1356661037

Practice Address

10 BRUCE ST
Newburgh, NY 12550

Phone: (845) 561-7284

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes 003123 (NY)
Counselor - Professional 101YP2500X No 37PC00314800 (NJ)
Social Worker 104100000X No 44SW05190800 (NJ)

Frequently Asked Questions

NPI 1356661037 is the National Provider Identifier for MRS. KETEVAN GAGNIDZE-MCCORMICK, LMHC, a Counselor - Mental Health provider located in Newburgh, NY. This NPI was enumerated on June 4, 2010.
MRS. KETEVAN GAGNIDZE-MCCORMICK, LMHC practices at 10 BRUCE ST, Newburgh, NY 12550.

Quick Facts

NPI
1356661037
Type
Individual
Enumerated
Jun 4, 2010
Last Updated
Jun 4, 2010

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