Christine M Wilder, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Hamden, NY
NPI 1487915419 · NPPES record last updated Jun 15, 2018
Key facts
- NPI
- 1487915419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 26844 (NY)
- Practice address
- 34570 State Highway 10 Ste 5
Hamden, NY 13782 - Phone
- (607) 832-5675
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 26844 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware County Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 26844 | NY | Yes |
Addresses
Primary practice location
34570 State Highway 10 Ste 5
Hamden, NY 13782
Mailing address
PO Box 145
Downsville, NY 13755-0145
Phone (845) 633-3199
Other practice location 1
5615 Deerpath Ln
Cincinnatus, NY 13040-9676
Phone (845) 633-3199
Other providers in Hamden, NY
All providers in Hamden, 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 Jun 15, 2018. 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.