Individual
MRS. MIRIAM CONSUELO REID I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4922
Mailing address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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