| Mr Kenneth Edward Hefty, | |
|
138 North Court Rd, Wampsville, NY 13163 | |
| (315) 366-2327 | |
| Not Available |
| Full Name | Mr Kenneth Edward Hefty |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 138 North Court Rd, Wampsville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881719888 | NPI | - | NPPES |
| 00569860 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Edward Hefty, 217 Crescent Ave, Syracuse, NY 13207-1809 Ph: (315) 857-4194 | Mr Kenneth Edward Hefty, 138 North Court Rd, Wampsville, NY 13163 Ph: (315) 366-2327 |
David Heimbaugh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 North Court St., Wampsville, NY 13163 Phone: 315-366-2327 | |
Mrs. Brittany L Todd, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 N Court St, Wampsville, NY 13163 Phone: 315-366-2327 | |
Miss Eleni Karayianni, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 North Court Street, Wampsville, NY 13163 Phone: 315-366-2327 | |
Russell James Stewart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 North Court Street, Wampsville, NY 13163 Phone: 315-366-2327 | |
Michele Joy Kern, Counselor Medicare: Medicare Enrolled Practice Location: 138 North Court St., Wampsville, NY 13163 Phone: 315-366-2327 Fax: 315-366-2599 | |
Edwina E Davies, Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 North Cout Street, Wampsville, NY 13163 Phone: 315-366-2327 | |
Martha J. Hancock-olech, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 138 North Court St., Wampsville, NY 13163 Phone: 315-366-2327 |