Individual
KYM HIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2676
(212) 932-2677
Mailing address
119 W 124TH ST, NEW YORK, NY 10027-4920
(212) 932-2676
(212) 932-2677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16768
NY
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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