Individual provider · Type 1 NPI

John Shea, CASAC

Addiction (Substance Use Disorder) Counselor · Middletown, NY

NPI number 1366775843 Active

Practice location

420 E Main St
Middletown, NY 10940-2516

Mailing address

3020 Sunrise Lk
Milford, PA 18337-9743

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X7342 (NY)

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

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About NPI 1366775843

John Shea, CASAC's National Provider Identifier is 1366775843, issued on Sep 15, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Middletown, NY. The record was last updated on Sep 15, 2009.