Individual
KASEY HAMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CASAC-T
Contact information
Practice address
200 VAN BUREN ST, MASTIC, NY 11950-4111
(631) 566-1643
Mailing address
200 VAN BUREN ST, MASTIC, NY 11950-4111
(631) 566-1643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37644
NY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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