Kiranjit K. Longaker, Mental Health Counselor, Pllc

NPI #1639545437 in Ithaca, New York

Provider Information

NPI Number: 1639545437
Entity Type: Organization
Organization Name: Kiranjit K. Longaker, Mental Health Counselor, Pllc
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Aug 15, 2015
Last Updated: Oct 26, 2018

Practice Location

Address: 401 E STATE ST STE 400
City: Ithaca
State: New York
ZIP Code: 14850-4400
Phone: (607) 592-6539

Authorized Official

Name: DR. KIRANJIT K LONGAKER, LMHC
Title: OWNER
Phone: (607) 592-6539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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