person
Mary A Lane, CASAC
Addiction (Substance Use Disorder) Counselor in Glens Falls, New York
NPI 1164684981

Mary A Lane is an Addiction (Substance Use Disorder) Counselor based in Hartford, NY and is specialized in Addiction (Substance Use Disorder). Mary A Lane practices in Glens Falls, NY and has the professional credentials of CASAC. The NPI Number for Mary A Lane is 1164684981 and holds a License No. 6712 (New York).

The current practice location address for Mary A Lane is 55 Elm St, Glens Falls, NY and can be reached out via phone at 518-793-7273 and via fax at 518-798-5004.

Location: 55 Elm St, Glens Falls, NY, 06150-1094
person
Provider Profile Details
NPI Number
1164684981
Provider Name
Mary A Lane
Credential
CASAC
Provider Entity Type
Individual
Gender
Female
Address
55 Elm St, Glens Falls, NY, 06150-1094
Phone Number
518-793-7273
Fax Number
518-798-5004
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420800 05 NY
institution
Provider Business Practice Location Address Details
Address
55 Elm St
City
State
Zip
12801-3549
Phone Number
518-793-7273
Fax Number
518-798-5004
person
Provider Business Mailing Address Details
Address
55 Elm St
City
State
Zip
12801-3549
Phone Number
518-793-7273
Fax Number
518-798-5004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
6712 (New York)
Definition
Definition to come...
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