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Individual
MR. KEVIN KASSICK
Active
Individual
MR. KEVIN KASSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00056808
NJ
101YM0800X
Mental Health Counselor
37PC00042400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P3440976
OXFORD
NJ
Enumeration date
12/16/2005
Last updated
07/13/2026
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