Individual
CASANDRA RECORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 W BROADWAY FL 3, PATERSON, NJ 07505-1014
(973) 345-1883
(973) 345-5480
Mailing address
9 W BROADWAY FL 3, PATERSON, NJ 07505-1014
(973) 345-1883
(973) 345-5480
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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