Individual
MR. BARRY ADDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
810 CLASSON AVE, BROOKLYN, NY 11238-6102
(718) 230-5100
Mailing address
97 BROOKLYN AVE APT 6H, BROOKLYN, NY 11216-3489
(917) 721-2885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13058
NY
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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