Individual
MS. ANNA LODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, CASAC-T
Contact information
Practice address
1510 WATERS PL, BRONX, NY 10461-2700
(718) 409-9433
(718) 918-9461
Mailing address
1510 WATERS PL, BRONX, NY 10461
(718) 409-9433
(718) 918-9461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22508
NY
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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