Individual
TIMOTHY CZELUSNIAK SERVISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
159 GLENWOOD DR, SARANAC LAKE, NY 12983-2385
(518) 891-3950
Mailing address
4409 ELLSWORTH BLVD, MALTA, NY 12020-3357
(518) 891-3950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34114
NY
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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