ENNIS KARRIEM-HASSAN HIGHTOWER

VALLEY STREAM, NY
NPI1154039279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  37199)
Enumeration Date2022-11-08
Last Update Date2022-11-08
Business Address
ENNIS KARRIEM-HASSAN HIGHTOWER CASAC-T
497 ROCKAWAY AVE
VALLEY STREAM, NY 11581-1909
Phone number: 718-845-2621
Mailing Address
ENNIS KARRIEM-HASSAN HIGHTOWER CASAC-T
15135 84TH ST APT 1H
HOWARD BEACH, NY 11414-1823
Phone number: 347-316-6979
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