Individual
COLLEEN ELIZABETH DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC-T
Contact information
Practice address
10 MITCHELL AVENUE, BINGHAMTON, NY 13903
(607) 762-3216
(607) 762-2001
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2580
(607) 762-3216
(607) 762-2001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
00000
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
29056
NY
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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