Individual
MARY ELLEN BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
942 ROUTE 376, WAPPINGERS FALLS, NY 12590-6483
(845) 765-2366
(845) 765-2367
Mailing address
942 ROUTE 376, WAPPINGERS FALLS, NY 12590-6483
(845) 765-2366
(845) 765-2367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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