Individual
MRS. EMMA CHAMPNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
214 W 116TH ST, NEW YORK, NY 10026-2494
(212) 602-1400
Mailing address
214 W 116TH ST, NEW YORK, NY 10026-2494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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