| Organization Name: | THE FAMILY COUNSELING CENTER OF FULTON COUNTY INC |
| NPI Number: | 1164473831 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL COUNTRYMAN (EXECUTIVE DIRECTOR) |
| Mailing Address: | 11-21 Broadway Gloversville |
| State: | NY US |
| Postal Code: | 120783968 |
| Phone Number: | 5187254310 |
| Fax Number: | 5187252556 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 06/19/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8549100A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |