National Provider Identifier
Colleen R. Klintworth, LMHC
Colleen R. Klintworth, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Canandaigua, NY and a listed phone number of (585) 622-1604.
Profile Overview
- NPI
- 1356728950
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 04, 2015
- Last Updated
- August 01, 2025
Practice Location
- 142 Mill St
- Canandaigua, NY 14424-2037
Phone: (585) 622-1604
Mailing Address
- 175 Telyea St
- Canandaigua, NY 14424-1652
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1356728950
- Entity Type
- Individual
- Last Name
- Klintworth
- First Name
- Colleen
- Middle Name
- R.
- Credential
- LMHC
- Mailing Street Address
- 175 Telyea St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1652
- Mailing Country
- US
- Mailing Phone
- (585) 622-1604
- Practice Street Address
- 142 Mill St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-2037
- Practice Country
- US
- Practice Phone
- (585) 622-1604
- Enumeration Date
- May 04, 2015
- Last Updated
- August 01, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)