Individual
COLLEEN BAROUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 BUENA VISTA AVE, QUEENSBURY, NY 12804-1229
(518) 745-8466
Mailing address
12 BUENA VISTA AVE, QUEENSBURY, NY 12804-1229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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