Individual
MR. CHARLES DARSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC, CASAC
Contact information
Practice address
BLDG 10250, 4TH ARMORED DRIVE, FORT DRUM, NY 13602
(315) 882-5846
Mailing address
PO BOX 557, FORT DRUM, NY 13602-0557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
005875
NY
Other
Enumeration date
05/12/2016
Last updated
02/14/2017
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