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Individual
CONCHETTA PROVIDENCE LOPRESTI
Active
Individual
CONCHETTA PROVIDENCE LOPRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CASAC, ICCDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
000906
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22683
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
4010
PA
Other
Enumeration date
11/03/2006
Last updated
04/05/2010
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