Individual
SUSAN M. TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
16 1ST ST, TROY, NY 12180-3802
(518) 272-3918
(518) 272-6391
Mailing address
410 7TH ST, WATERVLIET, NY 12189-3624
(518) 892-5159
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4047
NY
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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