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Ms. Mary Kay Booth, BA,CASAC,LMHC
Mental Health Counselor in Olean, New York
NPI 1801937826

Mary Kay Booth is a Mental Health Counselor based in Olean, NY and is specialized in Mental Health. Mary Kay Booth practices in Olean, NY and has the professional credentials of BA,CASAC,LMHC. The NPI Number for Mary Kay Booth is 1801937826 and holds a License No. 001771 (New York).

The current practice location address for Mary Kay Booth is 118 Brookview Avenue, Olean, NY and can be reached out via phone at 585-375-1398.

Location: 118 Brookview Avenue, Olean, NY, 14760
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801937826
Provider Name
Mary Kay Booth
Credential
BA,CASAC,LMHC
Provider Entity Type
Individual
Gender
Female
Address
118 Brookview Avenue, Olean, NY, 14760
Phone Number
585-375-1398
Fax Number
Provider Enumeration Date
02/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00635070 05 NY
20-8258921 01 NY EMPLOYER IDENTIFICATION #
institution
Provider Business Practice Location Address Details
Address
118 Brookview Avenue
City
Olean
State
New York
Zip
14760
Phone Number
585-375-1398
Fax Number
person
Provider Business Mailing Address Details
Address
118 Brookview Avenue
City
Olean
State
New York
Zip
14760
Phone Number
585-375-1398
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
001771 (New York)
Definition
Definition to come...
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