Individual provider · Type 1 NPI

Courtney Defeo, CASAC-T

Addiction (Substance Use Disorder) Counselor · Deer Park, NY

NPI number 1922467604 Active

Practice location

770 Grand Blvd, Suite 17
Deer Park, NY 11729-5750

Call (631) 392-4357 Map

Fax (631) 392-4358

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X268111 (NY)

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

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About NPI 1922467604

Courtney Defeo, CASAC-T's National Provider Identifier is 1922467604, issued on Feb 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Deer Park, NY. The record was last updated on Feb 23, 2016.