Individual
JANIECE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 826-6111
Mailing address
950 S OYSTER BAY RD, HICKSVILLE, NY 11801-3510
(516) 826-6111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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