National Provider Identifier

Heidi Lynne Kazmark, CASAC-T

Heidi Lynne Kazmark, CASAC-T is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Irving, NY and a listed phone number of (716) 532-8223.

NPI 1689234668Irving, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1689234668
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
June 20, 2019
Last Updated
June 20, 2019

Practice Location

  • 36 Thomas Indian School Dr
  • Irving, NY 14081-9300

Phone: (716) 532-8223

Mailing Address

  • 7919 Mill Street
  • East Otto, NY 14729

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1689234668
Entity Type
Individual
Last Name
Kazmark
First Name
Heidi
Middle Name
Lynne
Credential
CASAC-T
Mailing Street Address
7919 Mill Street
Mailing City
East Otto
Mailing State
NY
Mailing ZIP Code
14729
Mailing Country
US
Mailing Phone
(716) 244-1854
Mailing Fax
(716) 242-1663
Practice Street Address
36 Thomas Indian School Dr
Practice City
Irving
Practice State
NY
Practice ZIP Code
14081-9300
Practice Country
US
Practice Phone
(716) 532-8223
Enumeration Date
June 20, 2019
Last Updated
June 20, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)