Individual
KEVIN ADAM MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5239
(914) 925-5176
Mailing address
275 NORTH ST, HARRISON, NY 10528-1140
(914) 925-5239
(914) 925-5176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35915
NY
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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