Individual provider · Type 1 NPI
Gena Marie Chiasson, ADVANCED CASAC
Addiction (Substance Use Disorder) Counselor · Canton, NY
NPI number
1497028294
Active
Practice location
25 Dies St
Canton, NY 13617-1306
Fax (315) 379-1004
Mailing address
121 Beach St
Massena, NY 13662-1247
Other practice locations
- 209 Park St, Malone, NY 12953-1228 · (518) 483-8980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21237 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1497028294
Gena Marie Chiasson, ADVANCED CASAC's National Provider Identifier is 1497028294, issued on Feb 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, NY. The record was last updated on Jul 16, 2019.