Individual
LUAN VALZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 ROUND LAKE AVE, MONROE, NY 10950-1416
(845) 806-6155
Mailing address
38 ROUND LAKE AVE, MONROE, NY 10950-1416
(845) 806-6155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28868
CASAC
NY
Enumeration date
12/22/2015
Last updated
12/22/2015
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