Individual
MR. SEAN J. DEDIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC ADVANCED
Contact information
Practice address
1776 CLAY AVE, BRONX, NY 10457-7299
(347) 649-3275
Mailing address
1776 CLAY AVE, BRONX, NY 10457-7299
(347) 649-3275
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
32656
NY
101YP1600X
Pastoral Counselor
32656
NY
324500000X
Substance Abuse Rehabilitation Facility
32656
NY
Other
Enumeration date
06/01/2021
Last updated
05/16/2026
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