Individual
ANGELA MONICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
5700 W GENESEE ST, SUITE 118, CAMILLUS, NY 13031-3200
(315) 488-1641
(315) 488-1655
Mailing address
2705 HOWLETT HILL RD, MARCELLUS, NY 13108-9794
(607) 744-2096
(315) 488-1655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22855
NY
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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