Individual
DANA GROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
64 JEFFERSON ST STE 2, MONTICELLO, NY 12701-1148
(845) 250-1115
Mailing address
64 JEFFERSON ST STE 2, MONTICELLO, NY 12701-1148
(845) 250-1115
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38164
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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