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Individual
MR. LUIS ANGEL GARRASTEGUE
Active
Individual
MR. LUIS ANGEL GARRASTEGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC 24467
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24467
NY
171M00000X
Case Manager/Care Coordinator
—
NULL
Other
Enumeration date
05/19/2008
Last updated
08/30/2018
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