Individual
MR. DANIEL WYATT SEXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, CASAC 2
Contact information
Practice address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(631) 456-4821
(631) 456-4821
Mailing address
141 E MAIN ST, HUNTINGTON, NY 11743-2852
(631) 456-4821
(631) 456-4821
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
36298
NY
101YM0800X
Mental Health Counselor
Primary
011342-01
NY
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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