Individual
JUAN JOSE SANTACRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
64 2ND AVENUE, ALBANY, NY 12202
(518) 449-5170
(518) 598-0493
Mailing address
74 EDWARD STREET, 2ND FLOOR, COHOES, NY 12047
(518) 572-4298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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