Individual
KIMBERLY ANN SCHUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 PHELPS LN, NORTH BABYLON, NY 11703-4005
(631) 422-7676
Mailing address
35 EDMORE LN S, WEST ISLIP, NY 11795-4009
(631) 252-4916
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
886545022
DRIVERS LICENSE NYS
NY
Enumeration date
09/12/2019
Last updated
09/12/2019
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