Individual
MR. JOSHUA BRANDON CANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CASAC-T
Contact information
Practice address
109 FIRESTONE CIR, ROSLYN, NY 11576-3047
(516) 333-6734
Mailing address
163-18 JAMACIA AVENUE SUITE 502, JAMACIA, NY 11432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36977
NY
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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