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Dr. Ellen Sari Forman, PHD,LCAT,LMHC,CASAC,
Mental Health Counselor in Hudson, New York
NPI 1861607814

Ellen Sari Forman is a Mental Health Counselor based in Hudson, NY and is specialized in Mental Health. Ellen Sari Forman practices in Hudson, NY and has the professional credentials of PHD,LCAT,LMHC,CASAC,. The NPI Number for Ellen Sari Forman is 1861607814 and holds a License No. 002589 (New York).

The current practice location address for Ellen Sari Forman is 430 E Allen St, Hudson, NY and can be reached out via phone at 518-828-7400 and via fax at 518-329-1752.

Location: 430 E Allen St, Hudson, NY, 12534-2423
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Provider Profile Details
NPI Number
1861607814
Provider Name
Ellen Sari Forman
Credential
PHD,LCAT,LMHC,CASAC,
Provider Entity Type
Individual
Gender
Female
Address
430 E Allen St, Hudson, NY, 12534-2423
Phone Number
518-828-7400
Fax Number
518-329-1752
Provider Enumeration Date
05/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000412063001 01 NY BLUE SHIELD OF NE NY
institution
Provider Business Practice Location Address Details
Address
430 E Allen St
City
State
Zip
12534-2423
Phone Number
518-828-7400
Fax Number
518-329-1752
person
Provider Business Mailing Address Details
Address
430 E Allen St
City
State
Zip
12534-2423
Phone Number
518-828-7400
Fax Number
518-329-1752
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
002589 (New York)
Definition
Definition to come...
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