person
Mr. Michael W Polowchena, CASAC
Addiction (Substance Use Disorder) Counselor in Canton, New York
NPI 1588783914

Michael W Polowchena is an Addiction (Substance Use Disorder) Counselor based in Canton, NY and is specialized in Addiction (Substance Use Disorder). Michael W Polowchena practices in Canton, NY and has the professional credentials of CASAC. The NPI Number for Michael W Polowchena is 1588783914 and holds a License No. 558 (New York).

The current practice location address for Michael W Polowchena is 80 State Highway 310, Canton, NY and can be reached out via phone at 315-386-2189 and via fax at 315-386-2435.

Location: 80 State Highway 310, Canton, NY, 13617-1493
person
Provider Profile Details
NPI Number
1588783914
Provider Name
Michael W Polowchena
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
80 State Highway 310, Canton, NY, 13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
80 State Highway 310
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
person
Provider Business Mailing Address Details
Address
80 State Highway 310
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
315-386-2435
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
558 (New York)
Definition
Definition to come...
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