person
Mr. Douglas A Vantassell, CASAC-T
Addiction (Substance Use Disorder) Counselor in East Northport, New York
NPI 1487196580

Douglas A Vantassell is an Addiction (Substance Use Disorder) Counselor based in East Northport, NY and is specialized in Addiction (Substance Use Disorder). Douglas A Vantassell practices in East Northport, NY and has the professional credentials of CASAC-T. The NPI Number for Douglas A Vantassell is 1487196580 and holds a License No. (New York).

The current practice location address for Douglas A Vantassell is 5 Penfield Dr, East Northport, NY and can be reached out via phone at 631-239-5071 and via fax at 631-239-5071.

Location: 5 Penfield Dr, East Northport, NY, 11731-4901
person
Provider Profile Details
NPI Number
1487196580
Provider Name
Douglas A Vantassell
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
5 Penfield Dr, East Northport, NY, 11731-4901
Phone Number
631-239-5071
Fax Number
631-239-5071
Provider Enumeration Date
11/07/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Penfield Dr
City
State
Zip
11731-4901
Phone Number
631-239-5071
Fax Number
631-239-5071
person
Provider Business Mailing Address Details
Address
5 Penfield Dr
City
State
Zip
11731-4901
Phone Number
631-239-5071
Fax Number
631-239-5071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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