person
Jeffrey Witherspoon, CASAC
Addiction (Substance Use Disorder) Counselor in Massapequa, New York
NPI 1053706739

Jeffrey Witherspoon is an Addiction (Substance Use Disorder) Counselor based in Massapequa, NY and is specialized in Addiction (Substance Use Disorder). Jeffrey Witherspoon practices in Massapequa, NY and has the professional credentials of CASAC. The NPI Number for Jeffrey Witherspoon is 1053706739 and holds a License No. 6560 (New York).

The current practice location address for Jeffrey Witherspoon is 98 Division Ave, Massapequa, NY and can be reached out via phone at 516-398-7298.

Location: 98 Division Ave, Massapequa, NY, 11758-7101
person
Provider Profile Details
NPI Number
1053706739
Provider Name
Jeffrey Witherspoon
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
98 Division Ave, Massapequa, NY, 11758-7101
Phone Number
516-398-7298
Fax Number
Provider Enumeration Date
03/31/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
98 Division Ave
City
State
Zip
11758-7101
Phone Number
516-398-7298
Fax Number
person
Provider Business Mailing Address Details
Address
98 Division Ave
City
State
Zip
11758-7101
Phone Number
516-398-7298
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6560 (New York)
Definition
Definition to come...
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