person
Keith Triscari
Mental Health Counselor in Jamestown, New York
NPI 1871050211

Keith Triscari is a Mental Health Counselor based in Jamestown, NY and is specialized in Mental Health. Keith Triscari practices in Jamestown, NY. The NPI Number for Keith Triscari is 1871050211 and holds a License No. P05379 (New York).

The current practice location address for Keith Triscari is 880 E 2Nd St, Jamestown, NY and can be reached out via phone at 716-661-1590 and via fax at 716-661-1495.

Location: 880 E 2Nd St, Jamestown, NY, 14701-2528
person
Provider Profile Details
NPI Number
1871050211
Provider Name
Keith Triscari
Credential
Provider Entity Type
Individual
Gender
Male
Address
880 E 2Nd St, Jamestown, NY, 14701-2528
Phone Number
716-661-1590
Fax Number
716-661-1495
Provider Enumeration Date
02/21/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P05379 01 NY STATE PERMIT #
institution
Provider Business Practice Location Address Details
Address
880 E 2Nd St
City
State
Zip
14701-3824
Phone Number
716-661-1590
Fax Number
716-661-1495
person
Provider Business Mailing Address Details
Address
880 E 2Nd St
City
State
Zip
14701-3824
Phone Number
716-661-1590
Fax Number
716-661-1495
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P05379 (New York)
Definition
Definition to come...
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