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Individual

MR. JOHN LOCKWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CASAC, LMHC

Contact information

Practice address
275 NORTH STREET, SAINT VINCENT WESTCHESTER 1-DOTY UNIT, HARRISON, NY 10528
(914) 925-5536
(914) 925-5162
Mailing address
275 NORTH STREET, SAINT VINCENT WESTCHESTER 1-DOTY UNIT, HARRISON, NY 10528
(914) 925-5536
(914) 925-5162

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10938
NY
101YM0800X
Mental Health Counselor
000983
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10938
CASAC
NY
Enumeration date
03/14/2014
Last updated
03/14/2014
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