Individual
COLEEN KEELAN WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
15 CRESTLINE DR, BALLSTON SPA, NY 12020-1315
(802) 829-1783
Mailing address
15 CRESTLINE DR, BALLSTON SPA, NY 12020-1315
(802) 829-1783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
012665
NY
101YM0800X
Mental Health Counselor
Primary
P102979
NY
Other
Enumeration date
01/06/2022
Last updated
01/12/2026
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