Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY WITHERSPOON, CASAC
Active Sole ProprietorAddiction (Substance Use Disorder) Counselor · MASSAPEQUA, NY
Registration Details
- NPI Number
- 1053706739
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 31, 2015 (11.070261073255 yrs)
- Last Updated
- Mar 31, 2015
- License
-
6560 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
98 DIVISION AVEMASSAPEQUA, NY, 117587101Browse NY providers · Browse ZIP 11758
- Phone
- 5163987298
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in MASSAPEQUA, NY
| Name | Credential | NPI |
|---|---|---|
| JAMES SHARPE | LMSW | 1124429519 |
| MS. CASSANDRA LAUREN ROSTAD | — | 1548739816 |
| JUDY ANN GRIMA | CASAC | 1558920231 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.