Individual provider · Type 1 NPI
Shawn Edmontson, CASAC-T
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1225485345
Active
Practice location
2367-69 Second Avenue
New York, NY 10035
Fax (212) 722-7618
Mailing address
70 Malcolm X Blvd, Apt. 11J
New York, NY 10026-3001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 31064 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
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About NPI 1225485345
Shawn Edmontson, CASAC-T's National Provider Identifier is 1225485345, issued on May 18, 2016. 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 May 18, 2016.