Individual provider · Type 1 NPI

Kenneth McDonald, CASAC TRAINEE

Addiction (Substance Use Disorder) Counselor · Richmond Hill, NY

NPI number 1871691964 Active

Practice location

117-11 Myrtle Avenue
Richmond Hill, NY 11418

Fax (718) 849-1093

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17314 (NY)

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

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About NPI 1871691964

Kenneth McDonald, CASAC TRAINEE's National Provider Identifier is 1871691964, issued on Sep 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond Hill, NY. The record was last updated on Jul 8, 2007.