Individual
COLLEEN MCKEEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
174 LIVERMORE AVE, STATEN ISLAND, NY 10314-2628
(347) 581-5052
Mailing address
174 LIVERMORE AVE, STATEN ISLAND, NY 10314-2628
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007983
NY
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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