National Provider Identifier

Joseph Bernard Monahan II, CASAC

Joseph Bernard Monahan II, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Lyons, NY and a listed phone number of (315) 946-5722.

NPI 1730321258Lyons, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1730321258
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
March 30, 2009
Last Updated
March 30, 2009

Practice Location

  • 1519 Nye RD
  • Lyons, NY 14489-9133

Phone: (315) 946-5722

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
NPI
1730321258
Entity Type
Individual
Last Name
Monahan
First Name
Joseph
Middle Name
Bernard
Name Prefix
Mr.
Name Suffix
II
Credential
CASAC
Mailing Street Address
1519 Nye RD
Mailing City
Lyons
Mailing State
NY
Mailing ZIP Code
14489-9133
Mailing Country
US
Mailing Phone
(315) 946-5722
Mailing Fax
(315) 946-5726
Practice Street Address
1519 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9133
Practice Country
US
Practice Phone
(315) 946-5722
Practice Fax
(315) 946-5726
Enumeration Date
March 30, 2009
Last Updated
March 30, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)
Other Identifiers
00357502 (NY)