Kevin Bantum
Kevin Bantum is an Addiction (Substance Use Disorder) Counselor in Brooklyn, New York. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1041 Bergen StBrooklyn, NY 11216-3307
Phone: (718) 771-0760
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1992342331 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 4, 2019 |
| Last updated in NPPES | December 4, 2019 |
| Mailing address | 1041 Bergen St, Brooklyn, NY 11216-3307 |
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