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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN HENNESSY, CASAC

Active Sole Proprietor

JOHN HENNESSY, CASAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CLIFTON PARK, New York. NPI 1184001240 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · CLIFTON PARK, NY

Registration Details

NPI Number
1184001240
Provider Type
Individual
Gender
Male
NPI Issued
Apr 28, 2015 (11.292554860844 yrs)
Last Updated
Apr 28, 2015
License
96125 (NY)
Sole Proprietor
Yes

Practice Information

Address
84 TALLOW WOOD DR
CLIFTON PARK, NY, 120652827
Browse NY providers · Browse ZIP 12065
Phone
5188177216
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.