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Individual
MS. LILIANA MARIA CALLE
Active
Individual
MS. LILIANA MARIA CALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-LP, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19038
NY
101YM0800X
Mental Health Counselor
Primary
P103394
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306906243
MEDICAID
NY
05
—
1306906243
—
NY
Enumeration date
11/04/2020
Last updated
08/12/2021
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