Courtney Killik, LMHC
Counselor, Mental Health in Waterloo, NY. Individual provider (NPI-1).
NPI number1982184875
StatusActive
Last updated in NPPESOct 6, 2023
Details
- NPI
- 1982184875
- Entity type
- Individual (NPI-1)
- Name
- Courtney Killik
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2018
- Certification date
- Oct 3, 2023
- Last updated
- Oct 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 008951 | NY | Yes |
Practice location
31 Thurber DrWaterloo, NY 13165-1665
Phone 315-539-1980
Mailing address
5 W Cayuga StOswego, NY 13126-2031
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