Individual
ANGELA BORGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
11 ROUTE 111, SMITHTOWN, NY 11787-3712
(631) 920-8300
Mailing address
11 ROUTE 111, SMITHTOWN, NY 11787-3754
(631) 920-8300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21659-T
NY
101YM0800X
Mental Health Counselor
Primary
006476
NY
Other
Enumeration date
10/22/2008
Last updated
01/21/2021
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