Individual
BARBARA LYNN DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
189-191 SOUTH 2ND ST,, BROOKLYN, NY 11211
(718) 384-6400
(718) 388-1651
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 967-7522
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37726
CASAC
NY
Enumeration date
09/29/2023
Last updated
09/29/2023
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