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NPI Code Detail

MEDICARE: KATHY HILTON LMHC

MEDICARE: KATHY HILTON LMHC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YP2500XProfessional Counselor
3101YM0800XMental Health Counselor015047NY

General Provider Information

NPI Number : 1558896662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY HILTON LMHC
Provider Business Mailing Address
First Line : 29 E CAYUGA ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-1241
Country : US
Telephone Number : 315-326-4100
Fax Number :
Provider Business Practice Location Address
First Line : 29 E CAYUGA ST
Second Line :
City : OSWEGO
State : NY
Zip : 13126-1241
Country : US
Telephone Number : 315-326-4100
Fax Number : 315-326-4280
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2017
Last Update Date : 01/02/2025

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