Individual
JOANN BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.A.S.A.C.
Contact information
Practice address
15 MAGNOLIA DR, KINGS PARK, NY 11754-3124
(631) 265-3822
Mailing address
15 MAGNOLIA DRIVE, KINGS PARK, NY 11754
(631) 265-3822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8170
NY
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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