Individual provider · Type 1 NPI

Douglas A. Vantassell, CASAC-T

Addiction (Substance Use Disorder) Counselor · East Northport, NY

NPI number 1487196580 Active

Practice location

5 Penfield Dr
East Northport, NY 11731-4901

Fax (631) 239-5071

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1487196580

Douglas A. Vantassell, CASAC-T's National Provider Identifier is 1487196580, issued on Nov 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in East Northport, NY. The record was last updated on Nov 7, 2016.