Most Relevant Information
Provider Data
| NPI Number: | 1003524943 |
| Provider Name: | CLARE ELIZABETH MOORE REILLY LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 117664 |
Most Important Dates
| Enumeration Date: | 11/09/2022 |
| Last Updated: | 11/09/2022 |
Provider Practice Location
2215 BURDETT AVENUE
SAMARITAN BEHAVIORAL HEALTH
TROY
NY
121802466
Practice Location Phone/Fax
| Phone: | 5188336470 |
| Fax: |
Provider Mailing Location
PO BOX 14890
ALBANY
NY
122124890
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |