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Towayne Bartley

Counselor, Addiction (Substance Use Disorder) in Staten Island, NY. Individual provider (NPI-1).

NPI number1336740372
StatusActive
Last updated in NPPESNov 5, 2020

Details

NPI
1336740372
Entity type
Individual (NPI-1)
Name
Towayne Bartley
Sex
Male
Sole proprietor
No
Enumeration date
Nov 5, 2020
Certification date
Nov 4, 2020
Last updated
Nov 5, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)36505NYYes

Practice location

460 Brielle Ave Bldg H
Staten Island, NY 10314-6427

Phone 718-816-6589

Mailing address

460 Brielle Ave
Staten Island, NY 10314-6427

Phone 718-816-6589

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