Individual
LAURIE ANN KERNAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRPA-P, CASAC-T
Contact information
Practice address
20 COMMUNITY LN, LIBERTY, NY 12754-2851
(845) 867-4304
Mailing address
PO BOX 375, SOUTH FALLSBURG, NY 12779-0375
(845) 866-3570
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36090
NY
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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