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Organization
TIOGA COUNTY
Active
Organization
TIOGA COUNTY
Active
Parent organization
TIOGA COUNTY
Other names
Tioga County Alcohol and Drug Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TIOGA COUNTY
Authorized official
SUE ROMANCZUK-SMELCER PH.D, LCSW-R (DIRECTOR OF COMMUNITY SERVICES)
(607) 687-0200
Entity
Organization
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827
(607) 687-0200
(607) 687-0248
Mailing address
1062 STATE ROUTE 38, PO BOX 177, OWEGO, NY 13827
(607) 687-0200
(607) 687-0248
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
071011080
NY
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0802X
Addiction Psychiatry Physician
—
NULL
2084P0802X
Addiction Psychiatry Physician
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/18/2007
Last updated
01/30/2012
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