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Individual

JANNIE ALICIA MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CASAC-T

Contact information

Practice address
1614 WEIRFIELD ST, RIDGEWOOD, NY 11385-5350
(718) 456-7820
Mailing address
16419 104TH RD, JAMAICA, NY 11433-2104
(718) 350-0548

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CASAC-T-39820
NY

Other

Enumeration date
08/04/2025
Last updated
08/04/2025
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