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

MR. DOUGLAS A VANTASSELL, CASAC-T

Active Sole Proprietor

MR. DOUGLAS A VANTASSELL, CASAC-T is a Addiction (Substance Use Disorder) Counselor healthcare provider located in EAST NORTHPORT, New York. NPI 1487196580 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · EAST NORTHPORT, NY

Registration Details

NPI Number: 1487196580
Provider Type: Individual
Gender: Male
NPI Issued: Nov 7, 2016 (9.7760720052411 yrs)
Last Updated: Nov 7, 2016
Sole Proprietor: Yes

Practice Information

Address: 5 PENFIELD DR

EAST NORTHPORT, NY, 117314901
Browse NY providers · Browse ZIP 11731
Phone: 6312395071
Fax: 6312395071
Primary Specialty: Addiction (Substance Use Disorder) Counselor
101YA0400X

Other Addiction (Substance Use Disorder) Counselor Providers in EAST NORTHPORT, NY

Name	Credential	NPI
DANIELLE MARIE PROFACI	—	1801574462

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.