Individual provider · Type 1 NPI

Tiffaney Pantoja

Addiction (Substance Use Disorder) Counselor · Glens Falls, NY

NPI number 1083918239 Active

Practice location

55 Elm St
Glens Falls, NY 12801-3549

Fax (518) 798-5004

Mailing address

PO Box 31094
Hartford, CT 06150-1094

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1083918239

Tiffaney Pantoja's National Provider Identifier is 1083918239, issued on Jan 3, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glens Falls, NY. The record was last updated on Jan 3, 2011.