Individual
MS. KAYLIE E. DESHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
80 STATE HIGHWAY 310 STE 1, CANTON, NY 13617-1436
(315) 386-2189
(315) 386-2435
Mailing address
80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 13617
(315) 386-2189
(315) 386-2435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
12/01/2014
Last updated
04/24/2018
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