Individual provider · Type 1 NPI

Thomas Macedon, CASAC

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1790055663 Active

Practice location

273 Heberton Ave
Staten Island, NY 10302-1809

Call (718) 816-6589 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X9234 (NY)

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

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About NPI 1790055663

Thomas Macedon, CASAC's National Provider Identifier is 1790055663, issued on Jan 9, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Jan 9, 2012.