Organization · Type 2 NPI

Tioga County

Addiction (Substance Use Disorder) Counselor · Owego, NY

NPI number 1205031499 Active

Practice location

1062 State Route 38
Owego, NY 13827

Fax (607) 687-0248

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor Primary	101YA0400X	071011080 (NY)
Clinical Social Worker	1041C0700X	None listed
Addiction Psychiatry Physician	2084P0802X	None listed
Nurse Practitioner	363L00000X	None listed

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

71 other providers at this address

NPI record

NPI: 1205031499
Entity type: Organization (Type 2)
Issued: Jun 18, 2007
Last updated: Jan 30, 2012
Status: Active
Subpart: Yes of Tioga County

Other names

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Tioga County Alcohol and Drug Services · doing business as

Authorized official

Sue Romanczuk-Smelcer, PhD, LCSW-R
Director of Community Services
(607) 687-0200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205031499

Tioga County's National Provider Identifier is 1205031499, issued on Jun 18, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Owego, NY. The record was last updated on Jan 30, 2012.