Individual
KAITLYN ANNE SCHAAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CASAC
Contact information
Practice address
4655 NESCONSET HWY, PORT JEFFERSON STATION, NY 11776-2579
(516) 554-0976
Mailing address
1414 TOWNLINE RD, NESCONSET, NY 11767-2837
(516) 587-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33797
OASAS
NY
Enumeration date
04/17/2018
Last updated
08/26/2024
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