person
Gregg Modell
Mental Health Counselor in Liberty, New York
NPI 1588018626

Gregg Modell is a Mental Health Counselor based in Liberty, NY and is specialized in Mental Health. Gregg Modell practices in Liberty, NY. The NPI Number for Gregg Modell is 1588018626 and holds a License No. 006009 (New York).

The current practice location address for Gregg Modell is 366 Wade Rd, Liberty, NY and can be reached out via phone at 845-693-4232.

Location: 366 Wade Rd, Liberty, NY, 12754-2825
person
Provider Profile Details
NPI Number
1588018626
Provider Name
Gregg Modell
Credential
Provider Entity Type
Individual
Gender
Male
Address
366 Wade Rd, Liberty, NY, 12754-2825
Phone Number
845-693-4232
Fax Number
Provider Enumeration Date
04/14/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
366 Wade Rd
City
State
Zip
12754-2825
Phone Number
845-693-4232
Fax Number
person
Provider Business Mailing Address Details
Address
366 Wade Rd
City
State
Zip
12754-2825
Phone Number
845-693-4232
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
006009 (New York)
Definition
Definition to come...
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