| Christina L. Gmyr, Licensed Mental Health Counselor, Pllc | |
|
12 W Genesee St Baldwinsville NY 13027-1186 | |
| (315) 503-1151 | |
| Not Available |
| Full Name | Christina L. Gmyr, Licensed Mental Health Counselor, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 12 W Genesee St, Baldwinsville, New York |
| Authorized Official Name and Position | Christina L. Gmyr (OWNER/PROVIDER) |
| Authorized Official Contact | 3152280866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina L. Gmyr, Licensed Mental Health Counselor, Pllc 12 W Genesee St Baldwinsville NY 13027-1186 Ph: (315) 228-0866 | Christina L. Gmyr, Licensed Mental Health Counselor, Pllc 12 W Genesee St Baldwinsville NY 13027-1186 Ph: (315) 503-1151 |
| NPI Number | 1578061750 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 08/14/2020 |
| Certification Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578061750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 004828-1 (New York) | Primary |
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