Kassick, Kevin
Kassick, Kevin is an individual health care provider with primary practice located at 305 Roseberry St Suite 8, Phillipsburg NJ 08865-1600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kassick, Kevin can be contacted via phone (908) 454-7244.Contact Information
Primary practice address
305 Roseberry St Suite 8
Phillipsburg NJ 08865-1600
Phone: (908) 454-7244
Fax: (908) 859-2109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00056808 | New Jersey |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00042400 | New Jersey |
Profile Details
| NPI number | 1902882491 |
|---|---|
| LBN Legal business name | Kassick, Kevin |
| Credentials | LPC, LCADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902882491 | NPPES |
| New Jersey | Other | P3440976 | OXFORD |
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