Ray Ali Tebout, CASAC

NPI #1194992867 in Long Island City, New York

Provider Information

NPI Number
1194992867
Entity Type
Individual
Name
Ray Ali Tebout, CASAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
CASAC
Enumeration Date
May 13, 2008
Last Updated
Jan 16, 2012

Practice Location

Address
2976 NORTHERN BLVD
ZIP Code
11101-2822
Phone
(646) 807-8886

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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