Individual
JOHN SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
420 E MAIN ST, MIDDLETOWN, NY 10940-2516
(845) 342-5300
Mailing address
3020 SUNRISE LK, MILFORD, PA 18337-9743
(570) 686-3870
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7342
NY
Other
Enumeration date
09/15/2009
Last updated
09/15/2009
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