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Individual

DR. KIMBERLY L SUMNER-MAYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, LMFT

Contact information

Practice address
25 AVENUE D # 29, NEW YORK, NY 10009-6935
(646) 395-4381
Mailing address
29 FAIRVIEW AVE, WARWICK, NY 10990-1245
(845) 729-5697

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
106H00000X
Marriage & Family Therapist
Primary
000242-01
NY

Other

Enumeration date
02/20/2024
Last updated
02/20/2024
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