Individual
MONICA PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC 2
Contact information
Practice address
80-02 KEW GARDENS ROAD, SUITE 704, KEW GARDENS, NY 11415
(718) 520-1513
(718) 520-6460
Mailing address
79 GLENRIDGE RD, GLENVILLE, NY 12302-4523
(518) 952-8408
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
NY
Enumeration date
07/21/2008
Last updated
02/28/2017
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