Individual provider · Type 1 NPI
Tracy Hart, CRPA-P
Addiction (Substance Use Disorder) Counselor · Canton, NY
NPI number
1659985158
Active
Practice location
80 State Highway 310 Ste 1
Canton, NY 13617-1493
Fax (315) 386-2435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 40131 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Angela L. PhillipsAddiction (Substance Use Disorder) Counselor Canton, NY NPI 1255755732
About NPI 1659985158
Tracy Hart, CRPA-P's National Provider Identifier is 1659985158, issued on Sep 2, 2020. 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 Aug 21, 2025.