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
- City
- Long Island City
- State
- New York
- 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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