Individual
LINDA EDMISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
1001 11TH ST, NIAGARA FALLS, NY 14301-1201
(716) 278-8161
Mailing address
5467 UPPER MOUNTAIN RD, LOCKPORT, NY 14094-1854
(716) 439-7400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36198
—
NY
Enumeration date
02/17/2023
Last updated
02/17/2023
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