NPI 1073754842

Thomas J. Streb

Practitioner Addiction (Substance Use Disorder) Counselor Canandaigua, NY

Practice location

Address: 3019 County Complex Dr, Canandaigua, NY 14424-9505
Phone: (585) 396-4190
Fax: (585) 393-2916

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 4620 (NY)

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Registry record

NPI: 1073754842
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Mar 2009
Record last updated: 9 Mar 2009

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.