Individual provider · Type 1 NPI

Kenrick Alfred, CASAC-T, CAMS II

Addiction (Substance Use Disorder) Counselor · North Babylon, NY

NPI number 1255844460 Active

Practice location

608 Johnson Avenue, Suite 2
North Babylon, NY 11703-1208

Call (631) 575-8062 Map

Fax (631) 761-9475

Mailing address

608 Johnson Ave Ste 2
Bohemia, NY 11716-2690

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X33671 (NY)

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

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About NPI 1255844460

Kenrick Alfred, CASAC-T, CAMS II's National Provider Identifier is 1255844460, issued on Nov 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Babylon, NY. The record was last updated on Dec 18, 2017.