Individual
MS. IKRA DITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CASAC-T/COUNSELOR
Contact information
Practice address
233 LAFAYETTE ST, NEW YORK, NY 10012-4051
(212) 431-6177
Mailing address
9946 164TH AVE, HOWARD BEACH, NY 11414-4000
(347) 806-8414
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38127
NY
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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