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KATHERINE D KINGRA LMHC

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1740867928

Individual Registrant:
 KATHERINE D KINGRA LMHC
Gender: F
Sole Proprietor

Location and contact information for practice:
44 MILL ST  LANSING, NY 14882-8916 US
Tel: 207-409-2143  Fax: 207-409-2143

Contact information for business:
44 MILL ST  LANSING, NY 14882-8916 US
Tel: --  Fax: --

Registration Information:
NPI: 1740867928
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
NYP109072

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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