Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | ||
N | 101YM0800X | Mental Health Counselor |
NPI | 1003493909 |
---|---|
Provider Name | Ms. Katharine Michiko Accardo |
First Address | Airmont, NY 10901 |
Second Address | Airmont, NY 10901-1090 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2021 |
Last Update Date | 26/03/2021 |