Provider Information for 1700360732
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
RENEE KATHERINE LAROCK-GARY LMHC
Other Names:Former Name:RENEE KATHERINE SWINTON LMHCSex: Female
NPI: 1700360732
Last Updated: 2022-08-29
Certification Date: 2022-08-29
Certification Date: 2022-08-29
Details
Name | Value | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NPI | 1700360732 | ||||||||||||
Enumeration Date | 2018-09-15 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | NO | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 5 MOREHOUS DR TICONDEROGA, NY 12883-1110 United States Phone: 518-480-7208 | Fax:844-283-6959 | ||||||||||||
Primary Practice Address | 5 MOREHOUS DR TICONDEROGA, NY 12883-1110 United States Phone: 518-586-4276 | Fax:844-283-6959 | ||||||||||||
Secondary Practice Address(es) | |||||||||||||
Health Information Exchange |
| ||||||||||||
Other Identifiers |
| ||||||||||||
Taxonomy |
|