Individual provider · Type 1 NPI

Keisha Joseph-Brister

Mental Health Counselor · Coram, NY

NPI number 1245794338 Active

Practice location

3600 Route 112
Coram, NY 11727-4116

Fax (631) 920-8466

Mailing address

14202 20th Ave Fl 3
Flushing, NY 11351-3000

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245794338

Keisha Joseph-Brister's National Provider Identifier is 1245794338, issued on Jan 23, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Coram, NY. The record was last updated on Feb 7, 2019.