Provider Demographics
NPI:1609416056
Name:CRANSTON, EMMA (LMHC)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:
Last Name:CRANSTON
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 1:490 ROUTE 146 APT B
Mailing Address - Street 2:
Mailing Address - City:ALTAMONT
Mailing Address - State:NY
Mailing Address - Zip Code:12009-4401
Mailing Address - Country:US
Mailing Address - Phone:845-532-0974
Mailing Address - Fax:
Practice Address - Street 1:490 ROUTE 146 APT B
Practice Address - Street 2:
Practice Address - City:ALTAMONT
Practice Address - State:NY
Practice Address - Zip Code:12009-4401
Practice Address - Country:US
Practice Address - Phone:845-532-0974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health