NPI 1083918239

Tiffaney Pantoja

Practitioner Addiction (Substance Use Disorder) Counselor Glens Falls, NY

Practice location

Address: 55 Elm St, Glens Falls, NY 12801-3549
Phone: (518) 793-7273
Fax: (518) 798-5004
Mailing address: PO Box 31094, Hartford, CT 06150-1094

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X

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Registry record

NPI: 1083918239
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2011
Record last updated: 3 Jan 2011

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.