Individual
MARIE JADOS STANISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
17-19 SUSSEX STREET, PORT JERVIS, NY 12771
(845) 856-6344
(845) 856-4091
Mailing address
17-19 SUSSEX STREET, PORT JERVIS, NY 12771
(845) 856-6344
(845) 856-4091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
082518
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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