Individual
MR. JOSEPH BERNARD MONAHAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19811
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357502
—
NY
Enumeration date
03/30/2009
Last updated
03/30/2009
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