Individual provider · Type 1 NPI

John M. Waterman, CASAC

Addiction (Substance Use Disorder) Counselor · Patchogue, NY

NPI number 1891183216 Active

Practice location

475 E Main St, Suite 1
Patchogue, NY 11772-3121

Call (631) 363-2001 Map

Fax (631) 702-8050

Mailing address

657 S Country Rd
East Patchogue, NY 11772-5550

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25901 (NY)

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

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About NPI 1891183216

John M. Waterman, CASAC's National Provider Identifier is 1891183216, issued on Jan 7, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Patchogue, NY. The record was last updated on Jan 7, 2015.