KEITH RAYMOND WILSON

ROCHESTER, NY
NPI1609022219
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  002526)
Enumeration Date2008-08-14
Last Update Date2013-12-02
Business Address
-- KEITH RAYMOND WILSON LMHC
1596 MONROE AVE
ROCHESTER, NY 14618-1415
Phone number: 585-732-1970
Mailing Address
-- KEITH RAYMOND WILSON LMHC
46 DANFORTH CRESCENT
ROCHESTER, NY 14618
Phone number: 585-732-1970