Individual
SARA BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2435 6TH AVE, TROY, NY 12180-2227
(518) 274-5143
(518) 272-1350
Mailing address
10 BIRCH HILL CT, BALLSTON LAKE, NY 12019-1524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34007
NY
Other
Enumeration date
03/11/2021
Last updated
08/23/2022
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