Individual
JASMINE LASTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(212) 691-7554
Mailing address
2976 NORTHERN BLVD, LONG ISLAND CITY, NY 11101-2822
(212) 691-7554
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38558
NY
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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