Kool, Eva Anna

Kool, Eva Anna is an sole proprietor health care provider with primary practice located at 315 Ushers Rd , Ballston Lake NY 12019-1547. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kool, Eva Anna can be contacted via phone (518) 877-8812.

Contact Information

Primary practice address
315 Ushers Rd Ballston Lake NY 12019-1547
Phone: (518) 877-8812
Fax: (518) 877-8812
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R061422 New York

Profile Details

NPI number 1396851796
LBN Legal business name Kool, Eva Anna
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1396851796 NPPES
New York MEDICAID 02134807

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