Individual
TIMOTHY CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
41 PAGE PARK DR STE 200, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
Mailing address
41 PAGE PARK DR STE 200, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31368
NY
Other
Enumeration date
02/28/2023
Last updated
03/24/2023
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