Individual
KRISTIN M DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7578
Mailing address
1 CONTINENTAL DR, CENTEREACH, NY 11720-1401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/19/2017
Last updated
07/19/2017
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