Individual
ALIECE TANZINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC II, SAP, CLC
Contact information
Practice address
16 RUTH ST, KIRKWOOD, NY 13795-1215
(607) 743-1174
Mailing address
16 RUTH ST, KIRKWOOD, NY 13795-1215
(607) 743-1174
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
32375
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SSSAPA0321-X68
NY
171400000X
Health & Wellness Coach
AOYTWBCAVO
NY
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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