Individual
NADINE GOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
227 THORN AVE, ORCHARD PARK, NY 14127-2600
(716) 662-2040
(716) 662-0019
Mailing address
227 THORN AVENUE P BOX 631, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
033646
NY
Other
Enumeration date
07/08/2006
Last updated
09/09/2008
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