# MR. KENRICK ALFRED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255844460
- **Gender:** Man
- **Credential:** CASAC-T, CAMS II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 33671 | NY | Yes |

## Other

- **Enumeration date:** 11/09/2017
- **Last updated:** 12/18/2017
