Individual provider · Type 1 NPI

Kenrick Sinclair Hawthorne Jr., ADVANCED CASAC

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1447806005 Active

Practice location

1064 Franklin Ave
Bronx, NY 10456-6704

Call (718) 764-1551 Map

Fax (718) 764-1583

Mailing address

311 E 175th St
Bronx, NY 10457-5848

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25248 (NY)

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

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About NPI 1447806005

Kenrick Sinclair Hawthorne Jr., ADVANCED CASAC's National Provider Identifier is 1447806005, issued on Aug 9, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on May 6, 2020.