Individual
JACLYN ROSE SPACCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
Mailing address
22 COOPER RD, POUGHKEEPSIE, NY 12603-1621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
722391237
NY
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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