Individual provider · Type 1 NPI
Christianne Gentry
Addiction (Substance Use Disorder) Counselor · Center Moriches, NY
NPI number
1457968489
Active
Practice location
11 Rhododendron Dr
Center Moriches, NY 11934-3206
Mailing address
PO Box 1034
Center Moriches, NY 11934-7034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1457968489
Christianne Gentry's National Provider Identifier is 1457968489, issued on Sep 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Center Moriches, NY. The record was last updated on Sep 24, 2020.