Individual
MS. CLAIRE JULIETTE SHADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BAKER ST, SARANAC LAKE, NY 12983-1101
(914) 815-2658
Mailing address
21 BAKER ST, SARANAC LAKE, NY 12983-1101
(914) 815-2658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
097690
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
29901
NY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/02/2012
Last updated
09/24/2024
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