Individual
MR. FERDINAND S HAVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
743 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2266
(518) 477-7535
Mailing address
743 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2266
(518) 477-7535
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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