Individual
AMELIA RAE KOETHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC
Contact information
Practice address
391 MYRTLE AVE STE 3A, ALBANY, NY 12208-3797
(518) 262-2700
Mailing address
391 MYRTLE AVE STE 3A, ALBANY, NY 12208-3797
(518) 262-2700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P101516
NY
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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