MR. Larry Thomas Donaldson, CASAC
NPI #1417243353 in Farmingville, New York
Provider Information
- NPI Number
- 1417243353
- Entity Type
- Individual
- Name
- MR. Larry Thomas Donaldson, CASAC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CASAC
- Enumeration Date
- Jun 20, 2011
- Last Updated
- Jun 20, 2011
Practice Location
- Address
- 129 RIDGEWOOD AVE
- City
- Farmingville
- State
- New York
- ZIP Code
- 11738-1618
- Phone
- (631) 772-8547
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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