Individual provider · Type 1 NPI

Thaddius A. King, CASAC T 41385

Addiction (Substance Use Disorder) Counselor · Brentwood, NY

NPI number 1063364222 Active

Practice location

400 Crooked Hill Rd
Brentwood, NY 11717-1039

Mailing address

526 Greengrove Ave
Uniondale, NY 11553-2145

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCASACT41385 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1063364222

Thaddius A. King, CASAC T 41385's National Provider Identifier is 1063364222, issued on Feb 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brentwood, NY. The record was last updated on Feb 11, 2026.