Individual provider · Type 1 NPI
Sandra Stacks Berry, C.A.S.A.C.
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1033326285
Active
Practice location
500 8th Ave, 3rd Floor
New York, NY 10018-6504
Mailing address
150 E 72nd St, Apt. 3S
New York, NY 10021-4365
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20521 (NY) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1068 (NC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1033326285
Sandra Stacks Berry, C.A.S.A.C.'s National Provider Identifier is 1033326285, issued on May 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.