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Mr. Kenneth Edward Hefty
Mental Health Counselor in Wampsville, New York
NPI 1881719888

Kenneth Edward Hefty is a Mental Health Counselor based in Syracuse, NY and is specialized in Mental Health. Kenneth Edward Hefty practices in Wampsville, NY. The NPI Number for Kenneth Edward Hefty is 1881719888 and holds a License No. (New York).

The current practice location address for Kenneth Edward Hefty is 138 North Court Rd, Wampsville, NY and can be reached out via phone at 315-366-2327.

Location: 138 North Court Rd, Wampsville, NY, 13207-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881719888
Provider Name
Kenneth Edward Hefty
Credential
Provider Entity Type
Individual
Gender
Male
Address
138 North Court Rd, Wampsville, NY, 13207-1809
Phone Number
315-366-2327
Fax Number
Provider Enumeration Date
03/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00569860 05 NY
institution
Provider Business Practice Location Address Details
Address
138 North Court Rd
City
Wampsville
State
New York
Zip
13163
Phone Number
315-366-2327
Fax Number
person
Provider Business Mailing Address Details
Address
138 North Court Rd
City
Wampsville
State
New York
Zip
13163
Phone Number
315-366-2327
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(New York)
Definition
Definition to come...
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