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KETEVAN GAGNIDZE-MCCORMICK, LMHC

LMHC

Mental Health Counselor

NPI: 1356661037IndividualAccepts Medicare

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

003123(NY)
Professional Counselor

Counselor — Professional

Code: 101YP2500X

37PC00314800(NJ)
Social Worker

Social Worker

Code: 104100000X

44SW05190800(NJ)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 1985

Contact & Hours

Address
10 BRUCE ST
NEWBURGH, NY 12550

Quick Facts

NPI
1356661037
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
3
Locations
1
Years in Practice
41

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