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NPI Code Detail

MEDICARE: KLUGER MENTAL HEALTH COUNSELING PLLC

MEDICARE: KLUGER MENTAL HEALTH COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1649049909
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLUGER MENTAL HEALTH COUNSELING PLLC
Provider Business Mailing Address
First Line : 22 RHINECLIFF DR
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-1506
Country : US
Telephone Number : 303-523-1056
Fax Number :
Provider Business Practice Location Address
First Line : 95 ALLENS CREEK RD STE 9
Second Line :
City : ROCHESTER
State : NY
Zip : 14618-3252
Country : US
Telephone Number : 585-204-0528
Fax Number : 585-625-0270
Authorized Official
Title or Position : SOLE MEMBER
Name : MRS. SARAH HADER THERESE KLUGER
Credential : LMHC
Telephone Number : 585-204-0528
Provider Enumeration Date : 12/28/2023
Last Update Date : 08/01/2024

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