Charles Darsan, LMHC, CASAC
Individual provider Active NPI Mental Health Counselor · Fort Drum, NY
NPI 1689020331 · NPPES record last updated Feb 14, 2017
Key facts
- NPI
- 1689020331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 005875 (NY)
- Practice address
- BLDG 10250, 4TH Armored Drive
Fort Drum, NY 13602 - Phone
- (315) 882-5846
- NPI assigned
- May 12, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 005875 | NY | Yes |
Addresses
Primary practice location
BLDG 10250, 4TH Armored Drive
Fort Drum, NY 13602
Mailing address
PO Box 557
Fort Drum, NY 13602-0557
Other providers in Fort Drum, NY
- Peter Leo Cuff
- Maureen Daley
- Phillip Dandridge
- Colleen A Daniels
- Mikayla Darrah
- Linda Mae Davis
- Mary M. Davis
- Corey M Day
- Jessica Sara De la Flor
- Martin Joseph De Vita
All providers in Fort Drum, NY · Mental Health 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 14, 2017. 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.