Provider Demographics
NPI:1558927541
Name:WUERZ, HENRY (CASAC 2)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:WUERZ
Suffix:
Gender:M
Credentials:CASAC 2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 ROUTE 376
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-6483
Mailing Address - Country:US
Mailing Address - Phone:845-765-2366
Mailing Address - Fax:
Practice Address - Street 1:942 ROUTE 376
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-6483
Practice Address - Country:US
Practice Address - Phone:845-765-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)