Individual
MR. JUAN IGLESIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 647-5400
(845) 647-5419
Mailing address
106 VINEYARD AVE, HIGHLAND, NY 12528-1422
(845) 647-5400
(845) 647-5419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21398
NY
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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