Individual
MS. KATHLEEN PRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMF
Contact information
Practice address
1200A HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-1523
(516) 328-1717
(516) 328-1627
Mailing address
1200A HEMPSTEAD TPKE, FRANKLIN SQUARE, NY 11010-1523
(516) 328-1717
(516) 328-1627
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01013818
—
NY
Enumeration date
09/24/2013
Last updated
09/24/2013
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