Individual
HEIDI LYNNE KAZMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
36 THOMAS INDIAN SCHOOL DR, IRVING, NY 14081-9300
(716) 532-8223
Mailing address
7919 MILL STREET, EAST OTTO, NY 14729
(716) 244-1854
(716) 242-1663
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35657
NY
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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