Individual
MR. LEONARDO DE JESUS BERROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
7 RAILROAD AVE, MIDDLETOWN, NY 10940-4907
(845) 342-5941
Mailing address
7 RAILROAD AVE, MIDDLETOWN, NY 10940-4907
(845) 342-5941
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35808
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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