Individual
MS. SANDRA L MADAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CASAC
Contact information
Practice address
201 CEDAR ST, ONEIDA, NY 13421-2111
(315) 361-8413
Mailing address
138 NORTH COURT STREET, WAMPSVILLE, NY 13163
(315) 366-2755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689780546
—
NY
Enumeration date
03/27/2009
Last updated
03/27/2009
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