Doctor Name: | COLLEEN MACNEAL |
NPI Number: | 1275943649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 005464-1 |
Business Practice Address: | One Roof Saratoga 58 Henry St Saratoga Spgs, NY - 128662803 |
Business Phone Number: | 5185813180 |
Business Fax Number: | 5185813182 |
Mailing Address: | 10 Outlook Ave, SARATOGA SPGS |
State: | NY |
Postal Code: | 12866 |
Phone Number: | 5185813180 |
Fax Number: | 5185813182 |
NPI Enumeration Date: | 05/06/2014 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 005464-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |