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10897 Nys Route 9n, Suite 4 Keene NY 12942-9998 | |
(518) 576-4557 | |
Not Available |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 10897 Nys Route 9n,, Keene, New York |
Authorized Official Name and Position | John J. Haverlick (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5185764557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 48 10897 Nys Route 9n, Suite4 Keene NY 12942-9998 Ph: (518) 576-4557 | 10897 Nys Route 9n, Suite 4 Keene NY 12942-9998 Ph: (518) 576-4557 |
NPI Number | 1710923115 |
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Provider Enumeration Date | 06/22/2006 |
Last Update Date | 08/04/2008 |
Identifier | Type | State | Issuer |
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1710923115 | NPI | - | NPPES |