Individual provider · Type 1 NPI
Tanya Bates, B.A./CASAC-T/NYSCNA
Voluntary or Charitable Agency · Wyandanch, NY
NPI number
1437376928
Active
Practice location
15 S 27th St
Wyandanch, NY 11798-3705
Mailing address
15 South 27th Street
Wyandanch, NY 11799-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Contractor | 171W00000X | 342004610703E (NY) |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | 342004610703E (NY) |
Voluntary or Charitable Agency: Definition to come...
Another provider at this address
About NPI 1437376928
Tanya Bates, B.A./CASAC-T/NYSCNA's National Provider Identifier is 1437376928, issued on Apr 19, 2007. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Wyandanch, NY. The record was last updated on Sep 17, 2014.