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Individual

JOANNE CHASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CASAC; CARN

Contact information

Practice address
187 S BAY AVE, ISLIP, NY 11751-4418
(631) 277-2383
Mailing address
187 S BAY AVE, ISLIP, NY 11751-4418
(631) 277-2383

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2440
NY

Other

Enumeration date
01/13/2015
Last updated
01/13/2015
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