Individual
BRENDA ANN VITARIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
150 SAWKILL RD, KINGSTON, NY 12401-1208
(845) 481-4728
Mailing address
150 SAWKILL RD, KINGSTON, NY 12401-1208
(845) 481-4728
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
39083
NY
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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