Individual provider · Type 1 NPI

Keith Martin

Mental Health Counselor · Morrisonville, NY

NPI number 1760145668 Active

Practice location

2155 Route 22B
Morrisonville, NY 12962-3417

Call (518) 563-8000 Map

Fax (518) 324-2178

Mailing address

416 Stafford Rd
Plattsburgh, NY 12901-6121

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X41497 (NY)
Mental Health Counselor Primary 101YM0800X017636 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1760145668

Keith Martin's National Provider Identifier is 1760145668, issued on Oct 18, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Morrisonville, NY. The record was last updated on Mar 11, 2026.