Individual
KRISTINA D BOBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
305 NORTH STREET, MIDDLETOWN, NY 10940
(845) 343-7675
Mailing address
305 NORTH STREET, MIDDLETOWN, NY 10940
(845) 343-7675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28213
NY
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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