Individual
ENNIS KARRIEM-HASSAN HIGHTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
497 ROCKAWAY AVE, VALLEY STREAM, NY 11581-1909
(718) 845-2621
(718) 845-2622
Mailing address
15135 84TH ST APT 1H, HOWARD BEACH, NY 11414-1823
(347) 316-6979
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37199
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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