Provider Demographics
NPI:1861071243
Name:HAUGHTON, KENUTE JR
Entity type:Individual
Prefix:
First Name:KENUTE
Middle Name:
Last Name:HAUGHTON
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CLEARPOOL RD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4105
Mailing Address - Country:US
Mailing Address - Phone:845-225-8226
Mailing Address - Fax:
Practice Address - Street 1:33 CLEARPOOL RD
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4105
Practice Address - Country:US
Practice Address - Phone:845-225-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-05
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor