person
Ennis Karriem-hassan Hightower, CASAC-T
Addiction (Substance Use Disorder) Counselor in Valley Stream, New York
NPI 1154039279

Ennis Karriem-hassan Hightower is an Addiction (Substance Use Disorder) Counselor based in Howard Beach, NY and is specialized in Addiction (Substance Use Disorder). Ennis Karriem-hassan Hightower practices in Valley Stream, NY and has the professional credentials of CASAC-T. The NPI Number for Ennis Karriem-hassan Hightower is 1154039279 and holds a License No. 37199 (New York).

The current practice location address for Ennis Karriem-hassan Hightower is 497 Rockaway Ave, Valley Stream, NY and can be reached out via phone at 718-845-2621 and via fax at 718-845-2622.

Location: 497 Rockaway Ave, Valley Stream, NY, 11414-1823
person
Provider Profile Details
NPI Number
1154039279
Provider Name
Ennis Karriem-hassan Hightower
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
497 Rockaway Ave, Valley Stream, NY, 11414-1823
Phone Number
718-845-2621
Fax Number
718-845-2622
Provider Enumeration Date
11/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
497 Rockaway Ave
City
State
Zip
11581-1909
Phone Number
718-845-2621
Fax Number
718-845-2622
person
Provider Business Mailing Address Details
Address
497 Rockaway Ave
City
State
Zip
11581-1909
Phone Number
718-845-2621
Fax Number
718-845-2622
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
37199 (New York)
Definition
Definition to come...
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