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Joan Desmond
Addiction (Substance Use Disorder) Counselor in Freeport, New York
NPI 1619408747

Joan Desmond is an Addiction (Substance Use Disorder) Counselor based in Bayport, NY and is specialized in Addiction (Substance Use Disorder). Joan Desmond practices in Freeport, NY. The NPI Number for Joan Desmond is 1619408747 and holds a License No. 2909 (New York).

The current practice location address for Joan Desmond is 333 N Main St, Freeport, NY and can be reached out via phone at 516-634-0012.

Location: 333 N Main St, Freeport, NY, 11705-2103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619408747
Provider Name
Joan Desmond
Credential
Provider Entity Type
Individual
Gender
Female
Address
333 N Main St, Freeport, NY, 11705-2103
Phone Number
516-634-0012
Fax Number
Provider Enumeration Date
03/21/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2909 01 NY CASAC CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
333 N Main St
City
Freeport
State
New York
Zip
11520-1231
Phone Number
516-634-0012
Fax Number
person
Provider Business Mailing Address Details
Address
333 N Main St
City
Freeport
State
New York
Zip
11520-1231
Phone Number
516-634-0012
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.
2909 (New York)
Definition
Definition to come...
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