Individual provider · Type 1 NPI

Keesha Souvenir

Mental Health Counselor · Freeport, NY

NPI number 1780457630 Active

Practice location

114 Church St
Freeport, NY 11520-3833

Call (516) 868-3030 Map

Mailing address

9120 Springfield Blvd
Queens Village, NY 11428-1355

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780457630

Keesha Souvenir's National Provider Identifier is 1780457630, issued on Nov 2, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Freeport, NY. The record was last updated on Nov 2, 2023.