Individual provider · Type 1 NPI

Tyrone Anthony, CASAC

Addiction (Substance Use Disorder) Counselor · Freeport, NY

NPI number 1710105945 Active

Practice location

110 Evans Ave
Freeport, NY 11520-1435

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2498 (NY)

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

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About NPI 1710105945

Tyrone Anthony, CASAC's National Provider Identifier is 1710105945, issued on Apr 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Freeport, NY. The record was last updated on Jul 8, 2007.