Individual
KIMBERLY A HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1310 ROCKAWAY PKWY, BROOKLYN, NY 11236-2339
(718) 257-3880
(718) 257-3580
Mailing address
1310 ROCKAWAY PKWY, BROOKLYN, NY 11236-2339
(718) 257-3880
(718) 257-3580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19554
NY
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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