Individual
THERESA M. HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT, ADTR
Contact information
Practice address
54 ELIZABETH ST, RED HOOK, NY 12571-1720
(845) 758-5855
Mailing address
49 SAINT PAUL RD, RED HOOK, NY 12571-2374
(845) 758-5855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000123-1
NY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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