Dallas, Kim Clarissa

Dallas, Kim Clarissa is an sole proprietor health care provider with primary practice located at 239 Golden Hill Ln , Kingston NY 12401-6441. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Dallas, Kim Clarissa can be contacted via phone (845) 340-4135.

Contact Information

Primary practice address
239 Golden Hill Ln Kingston NY 12401-6441
Phone: (845) 340-4135
Fax: (845) 340-4094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06207700 New Jersey
Behavioral Health & Social Service Providers / Social Worker 104100000X 073220 New York

Profile Details

NPI number 1851383889
LBN Legal business name Dallas, Kim Clarissa
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Jun 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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