Individual
MR. MICHAEL P OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
34570 STATE HIGHWAY 10, SUITE 5, HAMDEN, NY 13782-1120
(607) 865-7656
(607) 865-7659
Mailing address
18 PLATT ST, APT 5, WALTON, NY 13856-1353
(607) 206-3287
(607) 865-7659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24203
NY
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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