Individual
KRISTINE M MAITLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
319 E WATER ST, SYRACUSE, NY 13202-1123
(315) 475-1771
(315) 475-4601
Mailing address
319 E WATER ST, SYRACUSE, NY 13202-1123
(315) 475-1771
(315) 475-4601
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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