Individual
MS. DOLORES M. DESILETS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
515 E 85TH ST, #6F, NYC, NY 10028-7421
(212) 249-2197
Mailing address
515 E 85TH ST, #6F, NYC, NY 10028-7421
(212) 249-2197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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