Individual
VALERIE JEAN ST. BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CASAC
Contact information
Practice address
281 PHELPS LN, NORTH BABYLON, NY 11703-4045
(631) 422-7676
(631) 422-7609
Mailing address
281 PHELPS LN, NORTH BABYLON, NY 11703-4045
(631) 948-8706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36326
NYS OASAS
NY
Enumeration date
08/01/2023
Last updated
08/01/2023
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