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Individual

KATHLEEN ANN VOORHEES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
155 INDIAN HEAD RD, COMMACK, NY 11725-2212
(631) 543-6200
Mailing address
24 LOCUST AVE APT 14, ISLIP, NY 11751-3530
(631) 543-6200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
02245149
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02241495
NY
Enumeration date
06/05/2007
Last updated
07/08/2007
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