| Mary A Lane, CASAC | |
|
55 Elm St, Glens Falls, NY 12801-3549 | |
| (518) 793-7273 | |
| (518) 798-5004 |
| Full Name | Mary A Lane |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 55 Elm St, Glens Falls, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164684981 | NPI | - | NPPES |
| 01420800 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6712 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary A Lane, CASAC Po Box 31094, Hartford, CT 06150-1094 Ph: (518) 952-8140 | Mary A Lane, CASAC 55 Elm St, Glens Falls, NY 12801-3549 Ph: (518) 793-7273 |
Donna C Bjorkman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Mrs. Brooke Ann Avon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Warren St Ste 209, Glens Falls, NY 12801 Phone: 518-338-3117 Fax: 518-831-5944 | |
Carla M Frieman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Tiffaney Pantoja, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Albert Smaldone, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Elm St, Glens Falls, NY 12801 Phone: 518-793-7273 Fax: 518-798-5004 | |
Bradley A Decker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Ridge St, Glens Falls, NY 12801 Phone: 518-926-7200 |