Individual
CAROLINA A LEIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6245 CAYUTAVILLE RD, ALPINE, NY 14805-9752
(607) 288-2332
Mailing address
PO BOX 646, BURDETT, NY 14818-0646
(607) 288-2332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010505
NY
Other
Enumeration date
04/09/2018
Last updated
06/10/2024
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