Individual
TERRAINE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
18145
Contact information
Practice address
172 LIBERTY ST, NEWBURGH, NY 12550-4912
(845) 561-5783
(845) 561-5783
Mailing address
18 VARICK HOMES, NEWBURGH, NY 12550-4660
(845) 561-5783
(845) 561-0243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18145
NY
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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