Individual
MR. KEVIN JULIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
567 E 105TH ST, BROOKLYN, NY 11236-2213
(718) 307-3017
Mailing address
567 E 105TH ST, BROOKLYN, NY 11236-2213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20680
NY
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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