Provider Demographics
NPI:1225733777
Name:FURR, KAYLEN (MHC)
Entity Type:Individual
Prefix:
First Name:KAYLEN
Middle Name:
Last Name:FURR
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 W MAIN ST STE 130
Mailing Address - Street 2:
Mailing Address - City:MACEDON
Mailing Address - State:NY
Mailing Address - Zip Code:14502-8949
Mailing Address - Country:US
Mailing Address - Phone:585-299-1010
Mailing Address - Fax:
Practice Address - Street 1:19 W MAIN ST STE 130
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-8949
Practice Address - Country:US
Practice Address - Phone:585-299-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health