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Gregory Hepburn, MA
Mental Health Counselor in Elmira, New York
NPI 1427234699

Gregory Hepburn is a Mental Health Counselor based in Elmira, NY and is specialized in Mental Health. Gregory Hepburn practices in Elmira, NY and has the professional credentials of MA. The NPI Number for Gregory Hepburn is 1427234699 and holds a License No. 16911 (New York).

The current practice location address for Gregory Hepburn is 100 N Main St, Elmira, NY and can be reached out via phone at 607-737-4040 and via fax at 607-734-0774.

Location: 100 N Main St, Elmira, NY, 14901-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427234699
Provider Name
Gregory Hepburn
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
100 N Main St, Elmira, NY, 14901-2901
Phone Number
607-737-4040
Fax Number
607-734-0774
Provider Enumeration Date
01/17/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12576044 01 NY CAQH
institution
Provider Business Practice Location Address Details
Address
100 N Main St
City
Elmira
State
New York
Zip
14901-2901
Phone Number
607-737-4040
Fax Number
607-734-0774
person
Provider Business Mailing Address Details
Address
100 N Main St
City
Elmira
State
New York
Zip
14901-2901
Phone Number
607-737-4040
Fax Number
607-734-0774
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
001753-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
16911 (New York)
Definition
Definition to come...
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