Individual
ADAM SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CASAC
Contact information
Practice address
7266 BUCKLEY RD STE 1, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
Mailing address
7266 BUCKLEY RD STE 1, NORTH SYRACUSE, NY 13212-2649
(315) 458-0919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20713
NY
Other
Enumeration date
12/10/2008
Last updated
12/10/2008
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