Provider Demographics
NPI:1003493909
Name:ACCARDO, KATHARINE MICHIKO (MHC-LP (PENDING))
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:MICHIKO
Last Name:ACCARDO
Suffix:
Gender:F
Credentials:MHC-LP (PENDING)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NY-59
Mailing Address - Street 2:#117
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901
Mailing Address - Country:US
Mailing Address - Phone:914-772-2615
Mailing Address - Fax:
Practice Address - Street 1:100 NY-59
Practice Address - Street 2:#117
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10901-1090
Practice Address - Country:US
Practice Address - Phone:845-369-9701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health