Individual
KRISTEN RIZZUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
79 GLENRIDGE RD, COTTAGE #1, GLENVILLE, NY 12302-4523
(518) 952-8140
(518) 952-8287
Mailing address
PO BOX 417153, BOSTON, MA 02241-7153
(518) 952-8140
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
088563
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03008248
—
NY
Enumeration date
04/16/2013
Last updated
04/16/2013
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