Individual
MR. BRIAN MATTHEW GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CRC
Contact information
Practice address
26 CENTURY HILL DR, LATHAM, NY 12110-2128
(518) 461-9780
Mailing address
21 CENTERVIEW DR, TROY, NY 12180-1916
(518) 461-9780
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001555
NY
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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