Mary Blomgren
Addiction Counselor (Substance Use Disorder)
407 E Union St
Newark
, New York 14513-1609
Mary Blomgren
Addiction Counselor (Substance Use Disorder)
407 E Union St
Newark
, New York 14513-1609
(315) 331-2300
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- Mary Blomgren
- 407 E Union St
- Newark, NY
- Zip : 14513-1609
- Phone : (315) 331-2300
Second Address
- Mary Blomgren
- 407 E Union St
- Newark, NY
- Zip : 14513-1609
- Phone : (315) 331-2300
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 27882 | NY |
National Provider Identifier
| NPI | 1003347626 |
|---|---|
| Provider Name | Mary Blomgren |
| First Address | Newark, NY 14513-1609 |
| Second Address | Newark, NY 14513-1609 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2017 |
| Last Update Date | 24/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.