Individual
ANNA DEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
6801 FRESH POND RD, APT.2F, RIDGEWOOD, NY 11385-5233
(917) 600-2158
Mailing address
6801 FRESH POND RD, APT.2F, RIDGEWOOD, NY 11385-5233
(017) 600-2158
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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