Individual
SHANE WESIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(917) 476-3296
Mailing address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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