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Gary Tyquan Smith
Counselor in Brewster, New York
NPI 1003495409

Gary Tyquan Smith is a Counselor based in Brewster, NY. Gary Tyquan Smith practices in Brewster, NY. The NPI Number for Gary Tyquan Smith is 1003495409 and holds a License No. (New York).

The current practice location address for Gary Tyquan Smith is 400 Doansburg Rd, Brewster, NY and can be reached out via phone at 845-279-2995. You can also correspond with Gary Tyquan Smith through the mailing address at 400 DOANSBURG RD, BREWSTER, NY - 10509 (mailing address contact number: 845-279-2995).

Location: 400 Doansburg Rd, Brewster, NY, 10509
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003495409
Provider Name
Gary Tyquan Smith
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 Doansburg Rd, Brewster, NY, 10509
Phone Number
845-279-2995
Fax Number
Provider Enumeration Date
04/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Doansburg Rd
City
Brewster
State
New York
Zip
10509
Phone Number
845-279-2995
Fax Number
person
Provider Business Mailing Address Details
Address
400 Doansburg Rd
City
Brewster
State
New York
Zip
10509
Phone Number
845-279-2995
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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