Individual
SHANTHA ANGELA WORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
2 FORTUNE RD E, MIDDLETOWN, NY 10941-1633
(347) 231-5050
Mailing address
2 FORTUNE RD E, MIDDLETOWN, NY 10941-1633
(347) 231-5050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00222200
NJ
Other
Enumeration date
08/25/2017
Last updated
07/21/2022
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