Individual
JESSICA BUTINDARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
(631) 360-7478
Mailing address
161 E MAIN ST, SMITHTOWN, NY 11787-2879
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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