Individual
MR. SCOTT TIMOTHY YORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRPA, CASAC-T
Contact information
Practice address
25-29 AVENUE D, NEW YORK, NY 10009
(646) 395-4400
Mailing address
25 AVENUE D, NEW YORK, NY 10009-6935
(917) 756-9219
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/13/2018
Last updated
12/13/2018
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