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Individual

MR. JOAQUIN E BURGOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CASAC-T

Contact information

Practice address
NEW HORIZON COUNSELING CENTER, 50 W HAWTHORNE AVENUE 3RD FLOOR, VALLEY STREAM, NY 11580
(516) 569-6600
Mailing address
1020 NEILSON ST APT 1F, FAR ROCKAWAY, NY 11691-5025
(718) 749-3023

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
257123
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
33640
NY

Other

Enumeration date
08/17/2021
Last updated
08/17/2021
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