Individual
SUSAN MARIE NEUFANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC, LMSW
Contact information
Practice address
17 MAIN ST FL 4, CORTLAND, NY 13045-6606
(607) 756-4167
(607) 753-0608
Mailing address
17 MAIN ST FL 4, CORTLAND, NY 13045-6606
(607) 756-4167
(607) 753-0608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5163
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02525840
—
NY
Enumeration date
09/09/2008
Last updated
09/09/2008
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