Individual
THOMAS SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
17 HAMILTON AVE, 17 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
Mailing address
17 HAMILTON AVE, 17 HAMILTON AVE, MONTICELLO, NY 12701-1319
(845) 794-8080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26641
NY
Other
Enumeration date
03/12/2016
Last updated
03/12/2016
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