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Marie Gouldsbury
Addiction (Substance Use Disorder) Counselor in Hampton Bays, New York
NPI 1417303611

Marie Gouldsbury is an Addiction (Substance Use Disorder) Counselor based in Manorville, NY and is specialized in Addiction (Substance Use Disorder). Marie Gouldsbury practices in Hampton Bays, NY. The NPI Number for Marie Gouldsbury is 1417303611 and holds a License No. 30619 (New York).

The current practice location address for Marie Gouldsbury is 31 E Montauk Hwy, Hampton Bays, NY and can be reached out via phone at 631-723-3362.

Location: 31 E Montauk Hwy, Hampton Bays, NY, 11949-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417303611
Provider Name
Marie Gouldsbury
Credential
Provider Entity Type
Individual
Gender
Female
Address
31 E Montauk Hwy, Hampton Bays, NY, 11949-3008
Phone Number
631-723-3362
Fax Number
Provider Enumeration Date
05/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30619 01 NY OASAS CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
31 E Montauk Hwy
City
Hampton Bays
State
New York
Zip
11946-1816
Phone Number
631-723-3362
Fax Number
person
Provider Business Mailing Address Details
Address
31 E Montauk Hwy
City
Hampton Bays
State
New York
Zip
11946-1816
Phone Number
631-723-3362
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
30619 (New York)
Definition
Definition to come...
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