Shabaka, Kenshasa

Shabaka, Kenshasa is an sole proprietor health care provider with primary practice located at 31 Cosdrew Ln # Ny11937 , East Hampton NY 11937-2541. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Shabaka, Kenshasa can be contacted via phone (917) 751-1751.

Contact Information

Primary practice address
31 Cosdrew Ln # Ny11937 East Hampton NY 11937-2541
Phone: (917) 751-1751
Fax: (718) 399-7427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 003807 New York

Profile Details

NPI number 1225343585
LBN Legal business name Shabaka, Kenshasa
Credentials MENTAL HEALTH CONSUL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2010
Last updated Aug 11th, 2010 - about 15 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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