Monica E Dean, CASAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Guilderland, NY

NPI 1376867952 · NPPES record last updated Mar 25, 2010

Key facts

NPI
1376867952
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
17404 (NY)
Practice address
3 Mercycare LN
Guilderland, NY 12084-3504
Phone
(518) 452-6749
Fax
(518) 452-6756
NPI assigned
Mar 25, 2010
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

LicenseStateTypeSpecialty
17404NYMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 17404 NY Yes

Addresses

Primary practice location

3 Mercycare LN
Guilderland, NY 12084-3504

Mailing address

44 Church St
Chatham, NY 12037-1321
Phone (518) 392-6347

Other providers in Guilderland, NY

All providers in Guilderland, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.