Individual
MR. MICHAEL DION LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
116 JOHN ST, 27 TH FLOOR, NEW YORK, NY 10038-3300
(212) 964-0128
(212) 964-0112
Mailing address
116 JOHN ST, 27 TH FLOOR, NEW YORK, NY 10038-3300
(212) 964-0128
(212) 964-0112
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7272
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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