Individual provider · Type 1 NPI

Kathleen A. De Jong, CSW-R

Mental Health Counselor · Burlington Flats, NY

NPI number 1336119031 Active

Practice location

193 Renwick Rd
Burlington Flats, NY 13315-3133

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X053935 (NY)

Mental Health Counselor: Definition to come...

About NPI 1336119031

Kathleen A. De Jong, CSW-R's National Provider Identifier is 1336119031, issued on Jan 25, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burlington Flats, NY. The record was last updated on Jul 8, 2007.