Individual provider · Type 1 NPI

Michael P. McCormick, CASAC

Addiction (Substance Use Disorder) Counselor · Troy, NY

NPI number 1164686804 Active

Practice location

2435 6th Ave
Troy, NY 12180-2227

Call (518) 274-5143 Map

Fax (518) 273-1350

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X19686 (NY)

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

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About NPI 1164686804

Michael P. McCormick, CASAC's National Provider Identifier is 1164686804, issued on Jul 11, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Troy, NY. The record was last updated on Jan 30, 2017.