person
John M Waterman, CASAC
Addiction (Substance Use Disorder) Counselor in Patchogue, New York
NPI 1891183216

John M Waterman is an Addiction (Substance Use Disorder) Counselor based in E Patchogue, NY and is specialized in Addiction (Substance Use Disorder). John M Waterman practices in Patchogue, NY and has the professional credentials of CASAC. The NPI Number for John M Waterman is 1891183216 and holds a License No. 25901 (New York).

The current practice location address for John M Waterman is 475 E Main St, Patchogue, NY and can be reached out via phone at 631-363-2001 and via fax at 631-702-8050.

Location: 475 E Main St, Patchogue, NY, 11772-5550
person
Provider Profile Details
NPI Number
1891183216
Provider Name
John M Waterman
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
475 E Main St, Patchogue, NY, 11772-5550
Phone Number
631-363-2001
Fax Number
631-702-8050
Provider Enumeration Date
01/07/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
475 E Main St
City
State
Zip
11772-3121
Phone Number
631-363-2001
Fax Number
631-702-8050
person
Provider Business Mailing Address Details
Address
475 E Main St
City
State
Zip
11772-3121
Phone Number
631-363-2001
Fax Number
631-702-8050
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
25901 (New York)
Definition
Definition to come...
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