Individual
MR. KENNETH PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW,LCADC,CCS,CPRS
Contact information
Practice address
492 ROUTE 57 W, WASHINGTON, NJ 07882-4411
(908) 689-1000
(908) 689-1491
Mailing address
492 ROUTE 57 W, WASHINGTON, NJ 07882-4411
(908) 689-1000
(201) 583-7112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37CA00106300
NJ
1041C0700X
Clinical Social Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/01/2013
Last updated
05/28/2024
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