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Individual

CAROLL RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC-T

Contact information

Practice address
3720 74TH ST FL 3, JACKSON HEIGHTS, NY 11372-6338
(718) 426-6222
Mailing address
3720 74TH ST FL 3, JACKSON HEIGHTS, NY 11372-6338
(718) 426-6222

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37599
NY

Other

Enumeration date
03/07/2023
Last updated
03/07/2023
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