Individual
KADENE WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6603 BEACH CHANNEL DR, ARVERNE, NY 11692-1433
(718) 471-8671
Mailing address
6603 BEACH CHANNEL DR, ARVERNE, NY 11692-1433
(718) 471-8671
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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