Individual
TODD MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 ELM ST, GLENS FALLS, NY 12801-3549
(518) 793-7273
(518) 798-5004
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20135
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NY
Enumeration date
01/07/2015
Last updated
12/22/2016
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