Renee Katherine Larock-gary, LMHC | |
5 Morehous Dr, Ticonderoga, NY 12883-1110 | |
(518) 586-4276 | |
(844) 283-6959 |
Full Name | Renee Katherine Larock-gary |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5 Morehous Dr, Ticonderoga, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700360732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 008982 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 008982 (New York) | Primary |
Entity Name | Mccd Psychiatry Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033750823 PECOS PAC ID: 4082049036 Enrollment ID: O20200121001374 |
Mailing Address | Practice Location Address |
---|---|
Renee Katherine Larock-gary, LMHC 5 Morehous Dr, Ticonderoga, NY 12883-1110 Ph: (518) 480-7208 | Renee Katherine Larock-gary, LMHC 5 Morehous Dr, Ticonderoga, NY 12883-1110 Ph: (518) 586-4276 |
Susan Hoilund, CASAC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Montcalm St, Ticonderoga, NY 12883 Phone: 518-585-7934 | |
Susan B Malaney, Counselor Medicare: Medicare Enrolled Practice Location: 5 Defiance Street, Ticonderoga, NY 12883 Phone: 518-585-9763 | |
Mrs. Linda L Leavens, RN, LCSW, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 Lord Howe St., Ticonderoga, NY 12883 Phone: 518-586-6568 Fax: 518-585-3265 |