Active NPIIndividual provider

Alphonso T Champagne, CASAC-T

Counselor, Addiction (Substance Use Disorder) in Mount Vernon, New York

NPI Number1306281738
Practice location
54 S 3RD Ave, Mount Vernon, NY 10550-3303
Fax
—
Last updated
April 29, 2013

Alphonso Tresvont Champagne is a Counselor, Addiction (Substance Use Disorder) based in Mount Vernon, NY. Alphonso Tresvont Champagne practices in Mount Vernon, NY and has the professional credentials of CASAC-T. The NPI Number for Alphonso Tresvont Champagne is 1306281738 and holds a License No. 22129 (NY). The current practice location address for Alphonso Tresvont Champagne is 54 S 3RD Ave, Mount Vernon, NY 10550-3303 and can be reached out via phone at 914-664-4042.

Provider Profile Details

NPI Number
1306281738
Provider Name
Alphonso Tresvont Champagne
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
54 S 3RD Ave, Mount Vernon, NY 10550-3303
Phone Number
914-664-4042
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
April 29, 2013
Last Update Date
April 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 S 3RD Ave
Mount Vernon, NY 10550-3303
Zip
10550-3303
Phone Number
914-664-4042
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
54 S 3RD Ave
Mount Vernon, NY 10550-3303
City
Mount Vernon
State
NY
Zip
10550-3303
Phone Number
914-380-4942

License Information

License Number
22129
License State
NY
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alphonso T Champagne, CASAC-T?

The NPI number of Alphonso T Champagne, CASAC-T is 1306281738. It was assigned on April 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Alphonso T Champagne, CASAC-T?

Alphonso T Champagne, CASAC-T is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NY under license number 22129.

Where does Alphonso T Champagne, CASAC-T practice?

The practice location is 54 S 3RD Ave, Mount Vernon, NY 10550-3303. The office can be reached at 914-664-4042 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306281738 directly on the NPPES registry website.

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