Individual
CONCHETTA PROVIDENCE LOPRESTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CASAC, ICCDP
Contact information
Practice address
76 W HUMBOLDT PKWY, MSGR. CARR INSTITUTE, BUFFALO, NY 14214-2605
(716) 835-9745
(716) 835-6785
Mailing address
76 W HUMBOLDT PKWY, MSGR. CARR INSTITUTE, BUFFALO, NY 14214-2605
(716) 835-9745
(716) 835-6785
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
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22683
ADDICTIONS
NY
01
—
300099
INTERNATIONALLY CERTIFIED CO-OCCURRING DISORDERS PROFESSIONAL
—
01
—
4010
ADDICTIONS COUNSELOR
PA
01
—
5833
CO-OCCURRING DISORDERS
PA
01
—
PC000906
PROFESSIONAL COUNSELOR
PA
Enumeration date
11/03/2006
Last updated
04/05/2010
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