Individual
TANYA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
243 DELAWARE ST, WALTON, NY 13856-1019
(607) 832-5888
Mailing address
21 MAIN ST, DELHI, NY 13753-1124
(917) 943-4669
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23478
NY
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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