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Lucious Conway
Addiction (Substance Use Disorder) Counselor in New York, New York
NPI 1659718625

Lucious Conway is an Addiction (Substance Use Disorder) Counselor based in New York, NY and is specialized in Addiction (Substance Use Disorder). Lucious Conway practices in New York, NY. The NPI Number for Lucious Conway is 1659718625 and holds a License No. 200924 (New York).

The current practice location address for Lucious Conway is 201 W 122Nd St, New York, NY and can be reached out via phone at 718-514-4560. You can also correspond with Lucious Conway through the mailing address at 201 W 122ND ST, NEW YORK, NY - 10027-5410 (mailing address contact number: 718-514-4560).

Location: 201 W 122Nd St, New York, NY, 10027-5410
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Provider Profile Details
NPI Number
1659718625
Provider Name
Lucious Conway
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 W 122Nd St, New York, NY, 10027-5410
Phone Number
718-514-4560
Fax Number
Provider Enumeration Date
05/30/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
201 W 122Nd St
City
State
Zip
10027-5410
Phone Number
718-514-4560
Fax Number
person
Provider Business Mailing Address Details
Address
201 W 122Nd St
City
State
Zip
10027-5410
Phone Number
718-514-4560
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CARC-90 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
200924 (Oklahoma)
Definition
Definition to come...
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