Individual
LORETTA T WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 E MONTAUK HWY, HAMPTON BAYS, NY 11946-1816
(631) 723-3362
Mailing address
45 KING ST, HAMPTON BAYS, NY 11946-2266
(631) 723-3322
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4333
LICENSE
NY
Enumeration date
04/03/2007
Last updated
07/08/2007
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