Individual
KEITH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BROAD ST, GLENS FALLS, NY 12801-4486
(518) 769-9079
Mailing address
4 OAKWOOD DR, QUEENSBURY, NY 12804-1328
(518) 307-4202
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
099933
NY
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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