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Individual

MR. BRIAN PATRICK HEALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMHC, LBA, BCBA

Contact information

Practice address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
(845) 338-6284
Mailing address
139 CORNELL ST, KINGSTON, NY 12401-3633
(845) 338-1234
(845) 338-6284

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005597
NY
103K00000X
Behavior Analyst
001185
NY

Other

Enumeration date
06/20/2011
Last updated
06/14/2016
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