Individual
KELLY SHEERAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
56 BAY ST, 6TH FLOOR, STATEN ISLAND, NY 10301-2563
(718) 808-1439
(718) 808-1393
Mailing address
56 BAY ST, 6TH FLOOR, STATEN ISLAND, NY 10301-2563
(718) 808-1439
(718) 808-1393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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