NPI 1003245978

Carlene Thomas, MSEDCRC

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

Practice location

Address: 267 Port Richmond Ave, Staten Island, NY 10302-1704
Phone: (718) 981-8117

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 00115429 (NY)

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Registry record

NPI: 1003245978
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2013
Record last updated: 1 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.