Individual
TENNILLE BURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
69 SECOND AVE, GLOVERSVILLE, NY 12078-2409
(518) 844-3184
Mailing address
770 GRAND BLVD STE 17, DEER PARK, NY 11729-5725
(631) 392-0435
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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