PROF. Kenshasa Shabaka, MENTAL HEALTH CONSUL
NPI #1225343585 in East Hampton, New York
Provider Information
- NPI Number
- 1225343585
- Entity Type
- Individual
- Name
- PROF. Kenshasa Shabaka, MENTAL HEALTH CONSUL
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MENTAL HEALTH CONSUL
- Enumeration Date
- Aug 11, 2010
- Last Updated
- Aug 11, 2010
Practice Location
- Address
- 31 COSDREW LN # NY11937
- City
- East Hampton
- State
- New York
- ZIP Code
- 11937-2541
- Phone
- (917) 751-1751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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