Individual
CASEY ANN KIRTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, EDM, MA
Contact information
Practice address
225 BROADWAY STE 2010, NEW YORK, NY 10007-3738
(718) 568-9674
Mailing address
341 NICHOLAS AVE, STATEN ISLAND, NY 10302-1638
(718) 568-9674
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
015393
NY
Other
Enumeration date
11/17/2022
Last updated
11/27/2024
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