Most Relevant Information
Provider Data
NPI Number: | 1003334285 |
Provider Name: | JOHN DURDEN MSW |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 09/07/2017 |
Last Updated: | 06/09/2022 |
Provider Practice Location
2452 ROUTE 9, SUITE 206
MALTA
NY
12020
Practice Location Phone/Fax
Phone: | 5182925433 |
Fax: | 5188994930 |
Provider Mailing Location
23 KAATSKILL WAY
BALLSTON SPA
NY
120203002
Provider Mailing Phone/Fax
Phone: | 5183699308 |
Fax: |