Individual
KIMM SHELLEY MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAS 2
Contact information
Practice address
3 CORPORATE DR # 3H, PEEKSKILL, NY 10566-1846
(914) 257-3500
Mailing address
121 HEMLOCK CIR, PEEKSKILL, NY 10566-4903
(914) 589-6084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5890
NY
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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