About
Kibasa Samuel is a Addiction Counselor in Commack, New York. She has over 8 years of experience. Contact Kibasa Samuel to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Sole Proprietor
Gender
Female
Years in Practice
8 years
Healthcare Provider Taxonomy
- Code: 101YA0400X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Addiction
- Code: 101YP2500X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Counselor
- Specialization: Professional
- Code: 104100000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Code: 1041C0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Specialization: Clinical
Credentials
- Licensed Clinical Social Worker (LCSW)
- Credentialed Alcoholism and Substance Abuse Counselor (CASAC)
- SAP MAC
Licenses
| Name | License Number | State |
|---|---|---|
| Counselor | 31589 Verify | NY |
| Counselor | 4937560 Verify | NY |
| Social Worker | 72091813 Verify | NY |
| Social Worker | 090232 Verify | NY |
Practice Locations
169 Commack Rd # 1010
Commack, NY 11725-3442
Phone Number: (516) 430-7372
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