Individual
ELISE DUFRESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
458 E MAIN ST, MALONE, NY 12953-2149
(518) 483-6566
(518) 481-4213
Mailing address
458 E MAIN ST, MALONE, NY 12953-2149
(518) 483-6566
(518) 481-4213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042115
OTHER
—
Enumeration date
03/01/2022
Last updated
03/01/2022
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