Individual
JULIA THORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
121 E ROGUES PATH, HUNTINGTON STATION, NY 11746-2741
(631) 327-4530
Mailing address
1375 AKRON ST, COPIAGUE, NY 11726-2931
(631) 552-4240
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37909
NY
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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