Individual
FRED HUANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, CASAC-AC
Contact information
Practice address
319 E WATER ST, SYRACUSE, NY 13202-1123
(315) 475-1771
Mailing address
319 E WATER ST, SYRACUSE, NY 13202-1123
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32336
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271578278
—
NY
Enumeration date
10/19/2021
Last updated
10/20/2021
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