Provider Demographics
NPI:1427624964
Name:DOOKWAH, KAMENIE (LPC, LCADC, NCC)
Entity type:Individual
Prefix:
First Name:KAMENIE
Middle Name:
Last Name:DOOKWAH
Suffix:
Gender:F
Credentials:LPC, LCADC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4040
Mailing Address - Country:US
Mailing Address - Phone:201-779-0856
Mailing Address - Fax:
Practice Address - Street 1:995 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4040
Practice Address - Country:US
Practice Address - Phone:201-779-0856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-03
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00894000101YM0800X, 101YP2500X
NJ37AC00478500101Y00000X
NJ37LC00364800101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)