person
Timothy Ryan Vanduyne, CASAC-T,LPN
Addiction (Substance Use Disorder) Counselor in Lyons, New York
NPI 1548552052

Timothy Ryan Vanduyne is an Addiction (Substance Use Disorder) Counselor based in Lyons, NY and is specialized in Addiction (Substance Use Disorder). Timothy Ryan Vanduyne practices in Lyons, NY and has the professional credentials of CASAC-T,LPN. The NPI Number for Timothy Ryan Vanduyne is 1548552052 and holds a License No. 25559 (New York).

The current practice location address for Timothy Ryan Vanduyne is 1519 Nye Rd, Lyons, NY and can be reached out via phone at 315-946-5722 and via fax at 315-946-7079.

Location: 1519 Nye Rd, Lyons, NY, 14489-9133
person
Provider Profile Details
NPI Number
1548552052
Provider Name
Timothy Ryan Vanduyne
Credential
CASAC-T,LPN
Provider Entity Type
Individual
Gender
Male
Address
1519 Nye Rd, Lyons, NY, 14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7079
Provider Enumeration Date
05/03/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1519 Nye Rd
City
State
Zip
14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7079
person
Provider Business Mailing Address Details
Address
1519 Nye Rd
City
State
Zip
14489-9133
Phone Number
315-946-5722
Fax Number
315-946-7079
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25559 (New York)
Definition
Definition to come...
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