Provider Demographics
NPI:1487877718
Name:GANTER, ERIN (LMHC)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:GANTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 SMART ST
Mailing Address - Street 2:
Mailing Address - City:KEESEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12944-1278
Mailing Address - Country:US
Mailing Address - Phone:518-561-0605
Mailing Address - Fax:518-561-4522
Practice Address - Street 1:159 MARGARET ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901
Practice Address - Country:US
Practice Address - Phone:518-561-0605
Practice Address - Fax:518-561-4522
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000591101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health