Esther Blanks, CASAC-T
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Potsdam, NY
NPI 1083987895 · NPPES record last updated Feb 10, 2012
Key facts
- NPI
- 1083987895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 24711 (NY)
- Practice address
- 50 Leroy St
Potsdam, NY 13676-1786 - Phone
- (315) 265-3300
- NPI assigned
- Feb 10, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24711 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24711 | NY | Yes |
Addresses
Primary practice location
50 Leroy St
Potsdam, NY 13676-1786
Mailing address
137 Rich Rd
Canton, NY 13617-3218
Phone (315) 276-1165
Other providers in Potsdam, NY
- Kimberley J Berg
- Sarah Berube
- Maurice Bettez
- Connie T Bicknell
- Jaime Byington Bicknell
- Noel Lawton Bloomfield II
- Bodyworks Chiropractic
- Jean Quinn Bogart
- Coreen Bohl
- Bridget Bond
All providers in Potsdam, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.