Individual
EVELYN BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1215 STRATFORD AVE, BRONX, NY 10472-2501
(718) 328-2605
(718) 328-2609
Mailing address
1215-1217 STRATFORD AVENUE, BRONX, NY 10472
(718) 328-2605
(718) 328-2609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13118
NY
Other
Enumeration date
03/03/2009
Last updated
06/02/2014
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