Individual
JEAN BASILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 920-8000
Mailing address
41 OAKWOOD ST, GREENLAWN, NY 11740-1438
(631) 754-3754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19755
NY
104100000X
Social Worker
073969-1
NY
Other
Enumeration date
02/05/2007
Last updated
09/11/2025
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