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Individual

KATHLEEN ELIZABETH WHITLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
60 ACADEMY RD, ALBANY, NY 12208-3198
(518) 813-0317
Mailing address
60 ACADEMY RD, ALBANY, NY 12208-3103

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P134680
NY
106S00000X
Behavior Technician
Primary

Other

Enumeration date
06/28/2021
Last updated
07/06/2026
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