Individual
MS. TINA M JODIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC T
Contact information
Practice address
CATHOLIC CHARITIES, 27 MATTHEWS ST., GOSHEN, NY 10924
(845) 294-5124
Mailing address
77 MERILINE AVENUE, NEW WINSOR, NY 12553
(845) 728-2586
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35345
NY
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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