Individual
PATRICK LAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1019 E DAVID ST, OGDENSBURG, NY 13669-3915
(518) 232-9870
Mailing address
PO BOX 701, CANTON, NY 13617-0701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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