Individual provider · Type 1 NPI

Kaylie E. Deshane, CASAC

Addiction (Substance Use Disorder) Counselor · Canton, NY

NPI number 1669879060 Active

Practice location

80 State Highway 310 Ste 1
Canton, NY 13617-1436

Call (315) 386-2189 Map

Fax (315) 386-2435

Mailing address

80 State Highway 310, Suite 1
Canton, NY 13617

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 1669879060

Kaylie E. Deshane, CASAC's National Provider Identifier is 1669879060, issued on Dec 1, 2014. 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 Apr 24, 2018.