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NPI 1689189219

NPI 1689189219 : SARAH LYON CASAC-M, LPMHC : TROY, NY

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General NPI Number Information
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    NPI Number           |    1689189219
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    Entity Type          |    Individual 
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    Provider Name        |    SARAH LYON CASAC-M, LPMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/05/2017
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    Last Update Date     |    08/20/2025
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Provider Practice Location Address
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    Address Line         |    2435 6TH AVE 
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    City                 |    TROY
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    State                |    NY
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    Zip                  |    12180-2227
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    Country              |    US
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    Telephone            |    518-274-5143
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    79 GLENRIDGE RD 
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    City                 |    GLENVILLE
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    State                |    NY
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    Zip                  |    12302-4523
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    Country              |    US
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    Telephone            |    518-952-8408
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    Fax                  |    518-399-6860
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    33808
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    016596
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    License Number State |    NY
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