Individual
CARLY GEMELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
8 E 3RD ST, NEW YORK, NY 10003-8908
(212) 763-0596
Mailing address
186 MESEROLE ST, APT 6, BROOKLYN, NY 11206-2136
(917) 686-9878
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
TBA
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
TBA
NY
171M00000X
Case Manager/Care Coordinator
TBA
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TBA
CASAC-T
NY
Enumeration date
06/25/2008
Last updated
06/25/2008
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