Individual
MS. CARMEN NIEVES-PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 CYGNET RD, CONGERS, NY 10920-1789
(917) 309-9184
Mailing address
12 CYGNET RD, CONGERS, NY 10920-1789
(917) 309-9184
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12455
—
1041C0700X
Clinical Social Worker
Primary
R065070-1
NY
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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