Individual provider · Type 1 NPI
Gloria J. Perry, CASAC-T
Addiction (Substance Use Disorder) Counselor · Patchogue, NY
NPI number
1912294877
Active
Practice location
234 River Ave Apt 91
Patchogue, NY 11772-3356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 19704 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912294877
Gloria J. Perry, CASAC-T's National Provider Identifier is 1912294877, issued on Jun 29, 2011. 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 Jun 29, 2011.