Individual
MRS. JOANNE MACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
37 JOHN ST, AMITYVILLE, NY 11701-2930
(631) 424-2900
(631) 608-1057
Mailing address
37 JOHN ST, AMITYVILLE, NY 11701-2930
(631) 424-2900
(631) 608-1057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19670
NY
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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