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Theresa Kanthi Patnala

Counselor, Mental Health in Gloversville, NY. Individual provider (NPI-1).

NPI number1104770403
StatusActive
Last updated in NPPESFeb 24, 2026

Details

NPI
1104770403
Entity type
Individual (NPI-1)
Name
Theresa Kanthi Patnala
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 24, 2026
Certification date
Feb 24, 2026
Last updated
Feb 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthP121074NYYes

Practice location

11-21 Broadway St
Gloversville, NY 12078-3968

Phone 518-725-4310

Mailing address

11-21 Broadway St
Gloversville, NY 12078-3968

Phone 518-725-4310

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