Individual provider · Type 1 NPI

Ennis Karriem-Hassan Hightower, CASAC-T

Addiction (Substance Use Disorder) Counselor · Valley Stream, NY

NPI number 1154039279 Active

Practice location

497 Rockaway Ave
Valley Stream, NY 11581-1909

Fax (718) 845-2622

Mailing address

15135 84th St Apt 1H
Howard Beach, NY 11414-1823

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X37199 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1154039279

Ennis Karriem-Hassan Hightower, CASAC-T's National Provider Identifier is 1154039279, issued on Nov 8, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Valley Stream, NY. The record was last updated on Nov 8, 2022.