Individual
JOHN MICHAEL HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
50 REMSEN ST, COHOES, NY 12047-2605
(518) 235-1200
Mailing address
50 REMSEN ST, COHOES, NY 12047-2605
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4178
NY
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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