Individual
CHRISTIANNE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 RHODODENDRON DR, CENTER MORICHES, NY 11934-3206
(631) 819-1455
Mailing address
PO BOX 1034, CENTER MORICHES, NY 11934-7034
(631) 819-1455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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