National Provider Identifier
Keith Raymond Wilson, LMHC
Keith Raymond Wilson, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Rochester, NY and a listed phone number of (585) 732-1970.
Profile Overview
- NPI
- 1609022219
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 14, 2008
- Last Updated
- December 02, 2013
Practice Location
- 1596 Monroe Ave
- Rochester, NY 14618-1415
Phone: (585) 732-1970
Mailing Address
- 46 Danforth Crescent
- Rochester, NY 14618
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1609022219
- Entity Type
- Individual
- Last Name
- Wilson
- First Name
- Keith
- Middle Name
- Raymond
- Credential
- LMHC
- Mailing Street Address
- 46 Danforth Crescent
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618
- Mailing Country
- US
- Mailing Phone
- (585) 732-1970
- Mailing Fax
- (585) 486-1960
- Practice Street Address
- 1596 Monroe Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-1415
- Practice Country
- US
- Practice Phone
- (585) 732-1970
- Practice Fax
- (585) 486-1960
- Enumeration Date
- August 14, 2008
- Last Updated
- December 02, 2013
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)