Individual
LISA HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 MAIN ST, GOSHEN, NY 10924-2157
(845) 294-5124
Mailing address
17 SUSSEX ST, PORT JERVIS, NY 12771-2430
(845) 856-6344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31360
NY
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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