JOHN HENNESSY

CLIFTON PARK, NY
NPI1184001240
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  96125)
Enumeration Date2015-04-28
Last Update Date2015-04-28
Business Address
-- JOHN HENNESSY CASAC
84 TALLOW WOOD DR
CLIFTON PARK, NY 12065-2827
Phone number: 518-817-7216
Mailing Address
-- JOHN HENNESSY CASAC
84 TALLOW WOOD DR
CLIFTON PARK, NY 12065-2827
Phone number:
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