| Brenda L. Gausby Mental Health Counselor Pllc | |
|
2130 State Rt 43 Averill Park Averill Park NY 12018 | |
| (518) 832-0204 | |
| Not Available |
| Full Name | Brenda L. Gausby Mental Health Counselor Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2130 State Rt 43, Averill Park, New York |
| Authorized Official Name and Position | Brenda Loraine Gausby (OWNER) |
| Authorized Official Contact | 5188320204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda L. Gausby Mental Health Counselor Pllc 2130 State Rt 43 Averill Park Averill Park NY 12018 Ph: (518) 832-0204 | Brenda L. Gausby Mental Health Counselor Pllc 2130 State Rt 43 Averill Park Averill Park NY 12018 Ph: (518) 832-0204 |
| NPI Number | 1245966480 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245966480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |