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Individual

ROBERT WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
31 E MONTAUK HWY, HAMPTON BAYS, NY 11946-1816
(631) 723-3362
Mailing address
8 TRAINOR AVE, CENTER MORICHES, NY 11934-1405
(631) 723-3362
(631) 723-3365

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24575
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24575
OASAS CERTIFICATE
NY
Enumeration date
01/21/2014
Last updated
01/21/2014
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