person
Georgia Knickerbocker Burkhardt
Mental Health Counselor in Queensbury, New York
NPI 1407432636

Georgia Knickerbocker Burkhardt is a Mental Health Counselor based in Queensbury, NY and is specialized in Mental Health. Georgia Knickerbocker Burkhardt practices in Queensbury, NY. The NPI Number for Georgia Knickerbocker Burkhardt is 1407432636 and holds a License No. P108244 (New York).

The current practice location address for Georgia Knickerbocker Burkhardt is 25 Willowbrook Rd, Queensbury, NY and can be reached out via phone at 518-563-8000.

Location: 25 Willowbrook Rd, Queensbury, NY, 12804-5882
person
Provider Profile Details
NPI Number
1407432636
Provider Name
Georgia Knickerbocker Burkhardt
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 Willowbrook Rd, Queensbury, NY, 12804-5882
Phone Number
518-563-8000
Fax Number
Provider Enumeration Date
03/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P108244 01 NY LIMITED PERMIT
institution
Provider Business Practice Location Address Details
Address
25 Willowbrook Rd
City
State
Zip
12804-5882
Phone Number
518-563-8000
Fax Number
person
Provider Business Mailing Address Details
Address
25 Willowbrook Rd
City
State
Zip
12804-5882
Phone Number
518-563-8000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P108244 (New York)
Definition
Definition to come...
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