| Anthony Gaudioso, Phd, Lmhc , Pc. | |
|
79 Saint James St Second Floor Kingston NY 12401-4513 | |
| (917) 470-9224 | |
| Not Available |
| Full Name | Anthony Gaudioso, Phd, Lmhc , Pc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 79 Saint James St, Kingston, New York |
| Authorized Official Name and Position | Anthony Guadioso (OWNER/CLINICAL COUNSELOR) |
| Authorized Official Contact | 9174709224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Gaudioso, Phd, Lmhc , Pc. 79 Saint James St Second Floor Kingston NY 12401-4513 Ph: (917) 470-9224 | Anthony Gaudioso, Phd, Lmhc , Pc. 79 Saint James St Second Floor Kingston NY 12401-4513 Ph: (917) 470-9224 |
| NPI Number | 1598123846 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 08/02/2022 |
| Certification Date | 08/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598123846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | P99440 (New York) | Primary |
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