Individual
KAREN MARIE WOLCHETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 E GREEN ST, 5TH FL., ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Mailing address
201 E. GREEN ST. 5TH FL., ALCOHOL AND DRUG COUNCIL OF TOMPKINS COUNTY, ITHACA, NY 14850-5635
(607) 274-6288
(607) 274-6280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
484936-1
NY
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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