Provider Demographics
NPI:1588811558
Name:FURREY, ANN JEAN (CASAC)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:JEAN
Last Name:FURREY
Suffix:
Gender:F
Credentials:CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SCOFIELD ST
Mailing Address - Street 2:
Mailing Address - City:WALDEN
Mailing Address - State:NY
Mailing Address - Zip Code:12586-1710
Mailing Address - Country:US
Mailing Address - Phone:845-778-5628
Mailing Address - Fax:845-778-5168
Practice Address - Street 1:8 SCOFIELD ST
Practice Address - Street 2:
Practice Address - City:WALDEN
Practice Address - State:NY
Practice Address - Zip Code:12586-1710
Practice Address - Country:US
Practice Address - Phone:845-778-5628
Practice Address - Fax:845-778-5168
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY19286101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)