Individual
MR. KEVIN J. NIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPP, CASAC
Contact information
Practice address
105 LEILANIS LN, NORWICH, NY 13815-3540
(607) 337-1680
(607) 334-4519
Mailing address
149 MORGAN ACRES RD, NORWICH, NY 13815-3324
(607) 334-2429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
253
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
11582
NY
Other
Enumeration date
06/06/2007
Last updated
09/11/2025
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